Volume 29 Issue 10
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(10): 1804-1807
ZHANG Ying, GU Leijun, TAO Zhangting. Application of perinatal nutrition-metabolism combined evidence-based nursing model in patients with gestational diabetes mellitus[J]. Chinese Journal of General Practice, 2025, 23(10): 1804-1807. doi: 10.16766/j.cnki.issn.1674-4152.004233
Citation: ZHANG Ying, GU Leijun, TAO Zhangting. Application of perinatal nutrition-metabolism combined evidence-based nursing model in patients with gestational diabetes mellitus[J]. Chinese Journal of General Practice, 2025, 23(10): 1804-1807. doi: 10.16766/j.cnki.issn.1674-4152.004233
shu

Application of perinatal nutrition-metabolism combined evidence-based nursing model in patients with gestational diabetes mellitus

doi: 10.16766/j.cnki.issn.1674-4152.004233

  • Obstetrics and Gynecology Department of Zhoushan Women and Children's Hospital, Zhoushan, Zhejiang 316000, China

Funds:

 2023KY394

  • Received Date: 2025-04-06
    Abstract
  •   Objective  Gestational diabetes mellitus (GDM) has been associated with adverse maternal and infant outcomes, and the single nursing model has been demonstrated to have a limited effect on improving pregnancy outcomes. The objective of this study is to develop and validate the application of the nutrition and metabolism nursing model, grounded in evidence-based nursing principles, for patients diagnosed with perinatal diabetes mellitus.  Methods  A total of 100 perinatal patients diagnosed with gestational diabetes mellitus at 28-35 weeks of gestation and admitted to Zhoushan Women and Children's Hospital from February 2024 to January 2025 were selected as the research subjects. The patients were divided into control group (n=50) and study group (n=50) by random number table method. The control group received routine nursing care, while the study group received perinatal nutrition-metabolism combined evidence-based nursing care, based on the findings of the control group. The investigation focused on a comprehensive set of health metrics, including blood lipid levels, blood glucose levels, weight gain during pregnancy, natural delivery rate, length of hospital stay and exclusive breastfeeding rate within 72 hours after delivery. A comparative analysis was conducted between the two groups, with the objective of identifying potential disparities in health outcomes. The present study will examine the incidence of complications during pregnancy and postpartum, as well as the incidence of adverse neonatal outcomes.  Results  Subsequent to the intervention, the levels of HDL, LDL, TG and TC in the study group were found to be significantly lower than those in the control group (P < 0.05), and the values were within the normal range. The FBG and 2hPG of levels of the study group were found to be significantly lower than those of the control group (P < 0.05). The weight gain of the study group was lower than that of the control group (P < 0.05). The natural delivery rate and exclusive breastfeeding rate within 72 hours postpartum in the study group were 76.0% (38/50) and 92.0% (46/50), respectively, which were superior to those in the control group [58.0% (29/50) and 76.0% (38/50), P < 0.05]. The length of hospital stay in the study group was found to be shorter than that in the control group [(6.22±1.68) d vs. (7.02±2.17) d, P < 0.05]. The incidence of adverse pregnancy outcomes and adverse neonatal outcomes in the study group was lower than that in the control group (P < 0.05).  Conclusion  The perinatal nutrition-metabolism combined evidence-based nursing model has been demonstrated to improve the blood lipid and blood glucose levels in patients with perinatal diabetes mellitus, control the weight gain, and reduce the incidence of adverse pregnancy outcomes.

     

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