The effect of interdisciplinary and diversified health education combined with personalized nutrition intervention on FPG, 2hPG, SDS, SAS scores and the pregnancy outcomes of gestational diabetes mellitus
Abstract
Objectives: This study aimed to explore the effect of interdisciplinary and diversified health education combined with personalized nutrition intervention on FPG, 2hPG, SDS, SAS scores and pregnancy outcome of gestational diabetes mellitus (GDM).
Material and methods: A total of 180 GDM patients, who were admitted to our hospital between June 2019 and June 2020, were enrolled as the research subjects and randomly divided into two groups: a research group and a control group (n = 90, each). The patients in the control group received routine care while the patients in the research group received interdisciplinary and diversified health education combined with personalized nutrition intervention. The fasting blood-glucose (FPG), two-hour postprandial blood glucose (2hPBG), glycated hemoglobin (HbA1C), SDS, SAS scores, and pregnancy outcome of the two groups of pregnant women were analyzed and compared.
Results: The differences in the levels of FBG, 2hPBG and HbA1C between the two groups before nursing were not statistically significant. After nursing, the levels of FBG, 2hPBG, and HbA1C of the two groups of patients decreased, and the differences in each group before and after intervention were statistically significant. These indexes were lower in the research group than in the control group, the differences being statistically significant. There were no significant differences between the two groups in SAS and SDS scores before nursing, but there were statistically significant differences after nursing. The incidence of unfavorable pregnancy outcome was lower in the research group (8.89%) than in the control group (14.44%), but the difference was not statistically significant (p > 0.05).
Conclusions: Interdisciplinary and diversified health education combined with personalized nutrition intervention can effectively reduce FPG, 2hPG, SDS, and SAS scores in GDM women.
Keywords: gestational diabetes mellitushealth educationnutrition interventionSDS and SAS scorespregnancy outcome
References
- Kusinski LC, Murphy HR, Rolfe ED, et al. Erratum: dietary intervention in pregnant women with gestational diabetes; protocol for the DiGest randomised controlled trial; . Nutrients. 2020; 12(6).
- Martis R, Crowther CA, Shepherd E, et al. Treatments for women with gestational diabetes mellitus: an overview of Cochrane systematic reviews. Cochrane Database Syst Rev. 2018; 8: CD012327.
- American Diabetes Association. Diagnosis and classification of diabetes mellitus[J]. Diabetes Care. 2014; 37(Suppl 1): s14–s80.
- Wei Y, Yang H, Zhu W, et al. International Association of Diabetes and Pregnancy Study Group criteria is suitable for gestational diabetes mellitus diagnosis: further evidence from China. Chin Med J (Engl). 2014; 127(20): 3553–3556.
- Clausen TD, Mathiesen ER, Hansen T, et al. Overweight and the metabolic syndrome in adult offspring of women with diet-treated gestational diabetes mellitus or type 1 diabetes. J Clin Endocrinol Metab. 2009; 94(7): 2464–2470.
- Nengzhen B. Exploring the impact of nutritional interventions on weight and pregnancy outcomes in patients with gestational diabetes mellitus[J]. Journal of Electrocardiogram (Electronic Edition). 2020; 9(3): 243–244.
- Yaping S, Yuling T. Effect of individualized dietary interventions on blood glucose in gestational diabetes mellitus. Hebei Medical Journal. 2020; 32(12): 1653–1654.
- Jinxin L, Sihong L. The importance analysis of individualized diet guidance on gestational diabetes mellitus . Clinical Journal of Chinese Medicine, 2018; 10(15): 75–76.
- Xinke H, Dongxi H, Nan F. Evaluation of effect assessment on case-management of women with gestational diabetes mellitus. American Journal of Nursing Science. 2019; 8(6): 313–316.
- American Diabetes Association. Standards of Medical Care in Diabetes--2010. Diabetes Care. 2009; 33(Supplement_1): S11–S61.
- Landon MB, Spong CY, Thom E, et al. A Multicenter, randomized trial of treatment for mild gestational diabetes. Obstetric Anesthesia Digest. 2010; 30(4): 232.
- Jiehui C. A study of the impact of individualized dietary management on pregnancy outcomes in patients with gestational diabetes mellitus. Journal of Youjiang Medical University for Nationalities. 2019; 36(4): 639–641.
- Tian R. Effect of health education and dietary care on blood glucose levels in pregnant women with gestational diabetes mellitus. Electronic Journal of Practical Clinical Nursing Science. 2020; 5(13).
- Xiaojia Ma, Nanping X. Application value of health education in outpatient of gestational diabetes patients . Chinese and Foreign Medical Research. 2019; 17(35): 176–178.
