Application Of 5A Nursing Model On Blood Glucose Management Of Patients With Gestational Diabetes Mellitus

Objective: In this study,based on the 5A nursing model,a self-management plan for gestational diabetes was developed to explore the effects of 5A nursing model on blood glucose index,general self-efficacy,self-management behavior,gestational anxiety score,pregnancy outcome and other aspects of patients with gestational diabetes.The aim is to establish a new perinatal health management model for patients with gestational diabetes,improve the self-management efficiency of pregnant women,and provide effective methods and support for the nursing management of patients with gestational diabetes,so as to improve the outcome of pregnancy,improve the quality of obstetrics and ensure the safety of mother and child.Methods: In this study,75 patients diagnosed with gestational diabetes admitted to perinatal centers of three hospitals in Gansu Province were selected as subjects.Among them,there were 37 cases in the intervention group and 38 cases in the control group.The control group received routine nursing,the intervention group used 5A nursing mode blood glucose management program to intervene pregnant women with GDM on the basis of routine outpatient nursing,and 5A nursing mode was used to conduct a series of nursing intervention for pregnant women with gestational diabetes,including comprehensive evaluation,according to which systematic and scientific health education was given.Develop a gestational diabetes self-management program.Pregnant women in the two groups were measured for blood sugar,pregnancy outcome collection and measurement of each scale,and SPSS25.0 was used to analyze the data.Results:1.In this study,79 patients with gestational diabetes mellitus were enrolled in three hospitals in Gansu Province.During the intervention process,2 patients in the intervention group withdrew due to insulin injection,and 1 patient withdrew midway.In the control group,1 case was lost to follow-up and therefore shed.75 patients were eventually included,including 38 cases in the control group and 37 cases in the intervention group for analysis.There were no statistically significant differences between the two groups in age,education level,payment method of medical expenses,nationality,occupation,residence,primiparia,family history of diabetes,regular pregnancy test,and 75 g oral glucose tolerance(OGTT)test results(P>0.05),is comparable.The OGTT test results of the two groups showed the fasting blood glucose value of(5.38±0.59)mmol/L,the blood glucose value of(10.31±1.36)mmol/L after oral glucose 1 hour,and the blood glucose value of(8.98±1.56)mmol/L after oral glucose 2 hours.2.Before the intervention,there was no significant difference in blood glucose levels between the two groups(p>0.05).After nursing,dry The blood glucose level in the pre-group was lower than that in the control group,and the difference was statistically significant(p<0.05).3.There were significant differences in the incidence of premature rupture of membranes,macrogenesis and neonatal hypoglycemia between the two groups(P<0.05).The incidence of cesarean section,postpartum hemorrhage and premature infants in the intervention group was lower than that in the control group,but there was no significant difference in adverse pregnancy outcomes between the two groups(P>0.05).4.There was no significant difference in the scores of general self-efficacy between the two groups before intervention(P>0.05).The difference of general self-efficacy scores after intervention was statistically significant(P<0.05);The paired sample t test was used for intra-group analysis,and the results showed that there were statistically significant differences between the two groups and the same group before intervention(P<0.05),the score of the intervention group(30.14±3.85)was higher than that of the control group(28.29±4.18),the difference was statistically significant(P<0.05).5.Comparison of self-management ability between the two groups showed that knowledge,management methods and behaviors,attitudes and beliefs,social support and total scores of GDM self-management in the two groups were higher than those in the control group after intervention,and the differences were statistically significant(p<0.05).6.Comparison of pregnancy-related anxiety between the two groups showed no significant difference in scores of pregnancy-related anxiety between the two groups before intervention(p>0.05).After intervention,the difference in scores between the two groups was statistically significant(p<0.05),the scores of the intervention group were lower than those of the control group.Conclusion:1.5A nursing mode can effectively help pregnant women with GDM control blood glucose level,and the effect is good.2.5A nursing mode can help pregnant women improve their general self-efficacy level and self-management ability,and reduce pregnancy anxiety.4.5A nursing mode can reduce the incidence of premature rupture of membranes,macronesia and neonatal hypoglycemia,but has no significant effect on the incidence of cesarean section,postpartum hemorrhage and premature infants.