The Impact Of One-day Outpatient Management Education Mode On The Patients With Gestational Diabetes Mellitus

Objective: The objective of this study is to evaluate the impact of the pregnantoutcomes under one-day outpatient management education mode on the Patients withGestational Diabetes Mellitus. It compared the effect of one-day outpatient managementeducation mode and traditional health education mode on general self-efficacy, thelevels of self-monitoring blood glucose, the numbers of weight gain, pregnancyoutcomes like the rates of cesarean delivery, hospitalization days and complication rates;Apgar score, weight, blood glucose, and complication rates of newborns.Methods: The clinical randomized controlled trials and quantitative research wereused. Pregnant women were selected at the time they were made the definite diagnosiswith gestational diabetes mellitus after the Oral Glucose Tolerance Test during24~28weeks of gestation in the obstetrical clinic of the First Affiiliated Hospital ofDalian Medical University from July to December in2013,based on the informedconsent and inclusion and exclusion criteria.GDM pregnant women voluntaryto participate in one-day outpatient management education were divided into toexperimental group, who refused to participate in were divided into the control group.Experimental group and control group were intervened with the one-day outpatientmanagement education mode and traditional health education mode. The group withone-day outpatient management education mode included researcher, nurses ofobstetrical clinic, Nutrition practitioner and obstetrician who gave a series of healthteachings to the GDM pregnant women and family members at one-day outpatient perweek. The health education of control group was educated by obstetricians and nursesof obstetrical clinic with traditional education of gestational diabetes mellitus includingdiet, exercise, blood glucose monitoring, and so on.The General Self-Efficacy Scale were used to survey the two groups after theintervention of two different education mode to discuss and evaluate the effect ofone-day outpatient management education mode on general self-efficacy. Self-designedgeneral information questionnaire, postpartum pregnant women and newborns status record table and questionnaire of GDM knowledge were used to record the demographicdata, disease related information, the awareness of GDM knowledge and the pregnantoutcomes of two groups.Date was arranged and analyzed with SPSS17.0. Statistical methods includeddescriptive statistics, t test, and chi square test.Results:When these pregnant women been in obstetric ward before their delivery,35pregnant women of experimental group and35pregnant women of control group wereselected for statistical data according to inclusion and exclusion criteria.1. Comparative result of general self-efficacy of two groupsThe t-test was used to compare the general self-efficacy after the intervention.Difference of the general self-efficacy between two groups after the intervention hadstatistical significance (P<0.05).2. Comparative results of general situation of two groupsThe t-test and and chi square test were used to compare the general situation of twogroups. Differences of the weight gain, success rate of weight control, the most recentlyHbA1c between two groups had statistical significance(P<0.05), Differences of the age,height, gestational age, BMI before pregnancy, OGTT value, weight before deliverybetween two groups had no statistical significance(P>0.05).3. Comparative results of the awareness rate of GDM knowledgesThe t-test was used to compare the score of the questionnaire of GDM knowledge.Differences of the range of blood glucose of GDM, range of weight gain, the properexercise of GDM, the attentions of exercise and the postpartum follow-up medical guidebetween two groups had statistical significance(P<0.05),differences of the principles ofmedical nutrition therapy,practice of self-monitoring of blood glucose, attentions of abalanced diet, the usage of insulin between two groups had no statisticalsignificance(P>0.05).4. Comparative results of postpartum pregnant women and newborns status of twogroupsThe t-test and chi square test were used to compare the status of postpartumpregnant women and newborns of two groups. Difference of the hospitalization dayshad statistical significance (P<0.05);differences of cesarean delivery rate,side cut rate,complication rate of the two groups of pregnant women had no statistical significance (P>0.05). Difference of weight of two groups of newborns had statistical significance(P<0.05); differences of Apgar score, blood glucose and complication rate of newbornshad no statistical significance (P>0.05).Conclusion:1. The general self-efficacy of experimental group is superior than control groupafter the intervention.2. The weight control level of experimental group is superior than control groupafter the intervention; the blood glucose level of the experimental group is superior thancontrol group.3. Pregnancy outcomes of the pregnant women and newborns in experimentalgroup is superior than control group.4. One-day outpatient management education mode of GDM can help the pregnantwomen master more knowledge and skills to manage the gestational diabetes mellitusduring the second and third trimester of pregnancy effectively.5. The One-day outpatient management education mode of GDM was accepted bypregnant women with gestational diabetes mellitus and has great significance ofpopularizing.