Application of the combined dietary management with the participation of nurses in the management of patients with GDM

doi:10.3969/j.issn.1006-7256.2015.19.002

Abstract：Objective:To investigate the effect of the combined dietary management with the participation of nurses in the management of patients with gestational diabetes mellitus(GDM). Methods:58 patients with GDM were randomly divided into the intervention group and the control group(29 cases in each group). The patient's dietary recipe was suggested by primary nurse and the patients were given routine health education in the control group;in the intervention group the dietary management objective was set up and the individualized dietary management was implemented by nurses only. The mastery of the diabetic diet knowledge,blood glucose control and satisfaction of the patients with dietary management during hospitalization were compared between the two groups on admission and after the intervention for 3 months. Results:After the intervention for 3 months,the scores of patient's mastery of the diabetic diet and exercise knowledge in-creased in the two groups compared with those before the intervention and they were significantly higher in the intervention group than the control group(P ﹤ 0. 01);the level of fasting blood glucose and postprandial 2h blood glucose of three meals and the value of glycosylated hemoglobin in the intervention group was significantly lower than the control group(P ﹤ 0. 01);the satisfaction rate of the patients with the combined dietary management during hospitalization was significantly higher in the intervention group than the control group(P ﹤ 0. 05). Conclusion:Application of the combined dietary management with the participation of nurses can improve the capability of nurses,doctors and dietitian in the management of patients with GDM and can improve patient satisfaction.