Evaluation of Effect Assessment on Case-Management of Women with Gestational Diabetes Mellitus
American Journal of Nursing Science
Volume 8, Issue 6, December 2019, Pages: 313-316
Received: Aug. 26, 2019;
Accepted: Sep. 24, 2019;
Published: Oct. 23, 2019
Views 128 Downloads 54
Huang Xinke, Gynaecology and Obstetrics Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Huang Dongxi, Gynaecology and Obstetrics Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Feng Nan, Gynaecology and Obstetrics Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Explore the application of case management in gestational diabetes mellitus (GDM). 164 patients diagnosed as GDM from February to November 2016 were set up as control group. 196 patients diagnosed as GDM from February to November of 2017 were divided into intervention group. In the control group, gynecology and obstetrics clinic doctors and nurses directly carried out routine health education, diet guidance and exercise advice. The intervention group adopted the case management model of gestational diabetes mellitus, including six major modules of case selection, overall service needs assessment, goal-oriented case management plan, follow-up management, contact and coordination to obtain services and evaluate case success, GDM women for blood glucose management, comparison of case management before and after GDM patients, the difference between the outcome of pregnancy. GDM case management model could effectively control the blood glucose of patients with GDM, reduce the readmission rate due to poor blood glucose control (P < 0.001), and significantly reduce the insulin used rate of patients with GDM (P < 0.019), but there was no significant difference between the two groups of the outcome of pregnancy (P > 0.05). Case management of gestational diabetes mellitus can effectively save medical costs and play an important role in the management of women with GDM.
Evaluation of Effect Assessment on Case-Management of Women with Gestational Diabetes Mellitus, American Journal of Nursing Science.
Vol. 8, No. 6,
2019, pp. 313-316.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Mahrukh M A, Marium Z, Roha S M. Gestational diabetes mellitus and periodontal diseases: a newly well‑established association [J]. Archives of Gynecology and Obstetrics, 2018, 298, 443-444.
Riskin A, Garcia-Prats JA. Up to date: infant of a diabetic mother. In: Weisman LE, Wolfsdorf, JI, Kim MS, editors. http://www.uptodate.com/contents/infant-ofa-diabetic-mother?source=related_link-H714002. Accessed 25 Feb 2016.
Jose M P, Anne M P, Jacomine d L, Peter M S, Anneke L F. Does the organisational model of dementia case management make a difference insatisfaction with case management and caregiver burden? An evaluation study [J]. BMC Geriatrics, 2016, 16, 65.
Li L, Zhang B, Ding Y. Practice and effect evaluation of gestational diabetes mellitus specialist practice model [J]. Chinese Journal of Nursing, 2017, 52 (05), 535-539.
Lu Y. Semiotic clarity of Case Management Model and Notation (CMMN). China Digital Medicine, 2017, 12 (01), 86-88.
Hongxin L. Quality control and management of electronic nursing records by the nursing team leader. Journal of Traditional Chinese Medicine Management, 2019, 27 (03), 66-67.
Zi Z, Ting S, Lijuan Y, Yan W, Guomin S. Effect of case management on patients with type 2 diabetes mellitus: a meta-analysis. Chinese Nursing Research, 2016, 3 (2), 71-76.
IDF Diabetes Atlas 8th edition: http://www.diabetesatlas.org/resources/2017-atlas.html
Judith P, Katherine S, Khalida I, Katherine H, Helen R, Angus F. Experiences of gestational diabetes and gestational diabetes care: a focus group and interview study. BMC Pregnancy and Childbirth, 2018, 18, 25.
Zhu Y, Zhang C. Prevalence of gestational diabetes and risk of progression to type 2 diabetes: a global perspective. Curr Diab Rep. 2016, 16 (1), 7.
Susan F, Grant C. A Systems Thinking Perspective of Medication Adherence for Patients with Diabetes Mellitus. Procedia Computer Science, 2019, 153, 218-224.
Juan J G, Jean M C, Catherine D, Hasan I. Diabetes education and health insurance: How they affect the quality of care provided to people with type 1 diabetes in Latin America. Data from the International Diabetes Mellitus Practices Study (IDMPS). Diabetes Research and Clinical Practice, 2019, 147, 47-54.
Mao F J. The influence of case management on gestational diabetes [J]. Health Research, 2016, 36 (04), 371-373.
Mariana P S, Helena M G, Eduardo G L, Joice M V, Bianca N C, Roberto A d A C, Marilza V C R, Iracema d M P C. Diagnostic protocol for gestational diabetes mellitus (GDM) (IADPSG/ADA, 2011): influence on the occurrence of GDM and mild gestational hyperglycemia (MGH) and on the perinatal outcomes [J]. Diabetology & Metabolic Syndrome, 2017, 9, 2.
Guangran Y, Timothy D D, Dongmei L. Effects of pre-gestational diabetes mellitus and gestational diabetes mellitus on macrosomia and birth defects in Upstate New York. Diabetes Research and Clinical Practice, 2019, 155, Article 107811.