The Effect Analysis Of Case Management For Gestational Diabetes Mellitus Patients

ObjectiveTo evaluate and analyze the effect of case-management nursing applied ingestational diabetes mellitus patients?GDM?,to provide basis for the GDM clinicalnursing with GDM.MethodsThe GDM patients were divided into two groups by random number tableaccording to the diagnosed rank, the patients in control control group patients weretreated with routine outpatient health education and patients in experimental groupwere with case-management on the basis of routine education. The effect forpatients was evaluated in one month and three months after the nursing interventionand analyzed the Fasting and postprandial blood glucose two hours and diabetesself-management level in two groups.Results?1?There were no significant differences in the Fasting and postprandial blood glucose two hours and diabetes self-management level(Knowledge of diabetes,self-managing behavior, anxious emotion) between intervention group and controlgroup before intervention?P>0.05);?2?Using repeated-measuresANOVAs?there were significant differences in theFasting and postprandial blood glucose two hours and diabetes self-management levelbetween before intervention,1month and3months after intervention ?P<0.05),There were significant differences in the postprandial blood glucose two hours anddiabetes self-management level between two groups?P<0.05), and results were betterthan the control group. There were no significant difference in the Fasting bloodglucose before and one month after intervention?P>0.05),but there were significantdifference in three month after intervention?P<0.05).?3?There is a declining trend three month after the intervention for the selfmanagement attitude and dietary adherence.ConclusionCase-management care as an new-style nursing method can significantlyreduced the level of Fasting and postprandial blood glucose two hours and improvethe self-management behavior with the patients of GDM, but we should strengthenhealth education for GDM patients after delivery in order to reduce risk of type2diabetes in the future.