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| Effects of bidirectional collaborative intervention guided by circulation quality management for pregnant women with gestational diabetes mellitus on their pregnancy outcomes |
| Anqing Municipal Hospital, Anqing, Anhui Province, 246003 |
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Abstract To explore the effects of bidirectional collaborative intervention guided by circulation quality management for pregnant women with gestational diabetes mellitus(GDM) on their pregnancy outcomes, neonatal blood glucose level and complications. Methods: A total of 172 pregnant women with GDM were selected and were randomly divided into routine group and study group(86 cases in each group) from January 2021 to December 2022. The women in the control group were given routine inpatient nursing intervention, and the women in the study group were given bidirectional collaborative inpatient intervention mode guided by circulation quality management combined with routine inpatient nursing intervention. The blood glucose level before and after intervention, the neonatal Apgar score and blood glucose level, the maternal and infant outcomes, and the complications situation of the women were compared between the two groups. Results: After the intervention, the fasting plasma glucose(FPG) and 2h postprandial plasma glucose levels of the women in the two groups had decreased significantly, and which of the women in the study group were significantly lower than those of the women in the control group. The neonatal Apgar scores at 1min, 5min and 10 min after birth in the study group were significantly higher than those of the women in the control group. The neonatal FPG levels at 6, 12 and 24 hours after birth(3.89±0.15 mmol/L, 3.98±0.26 mmol/L and 3.88±0.19 mmol/L) in the study group were significantly higher than those(3.02±0.43 mmol/L, 3.10±0.29 mmol/L and 3.06±0.31 mmol/L) in the control group. The rates of the adverse pregnancy outcomes and the neonatal outcomes of the women in the study group were significantly lower than those of the women in the control group. The rates of related maternal complications(16.3%) and the related neonatal complications(14.0%) in the study group were significantly lower than those(38.4% and 30.2%) in the control group(all P<0.05). Conclusion: The application of bidirectional collaborative intervention management guided by circulation quality management for treating the pregnant women with GDM can significantly improve the maternal and neonatal blood glucose levels, reduce the adverse maternal and infant outcomes and complications, with higher clinical efficacy.
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