Perinatal teach-back health education combined with comprehensive nutritional intervention reduces fasting blood glucose and improves maternal and neonatal pregnancy outcomes in women with gestational diabetes mellitus.

چکیده اصلی

OBJECTIVE: We endeavor to investigate the impact of perinatal teach-back method health education combined with comprehensive nutritional intervention on maternal and infant health outcomes in gestational diabetes mellitus (GDM) patients. METHODS: A retrospective analysis was conducted on 120 GDM patients, who were divided into a control group (January 2023-June 2023, routine health education) and an observation group (July 2023-January 2024, teach-back method health education plus comprehensive nutritional intervention) (n = 60 each) based on admission time. Maternal fasting blood glucose level, childbirth self-efficacy, and health-promoting lifestyle scores were compared. Maternal and infant health outcomes, including delivery mode, postpartum hemorrhage, preterm birth, macrosomia, and neonatal asphyxia, as well as maternal nursing satisfaction, were also compared. RESULTS: After the intervention, the observation group exhibited lower fasting blood glucose levels, higher scores in outcome expectations, self-efficacy expectations, and childbirth self-efficacy, higher HPLPII subscale scores, lower incidences of postpartum hemorrhage, preterm birth, macrosomia, and neonatal asphyxia, a higher spontaneous vaginal delivery rate, and higher overall nursing satisfaction rate than the control group (all P < 0.05). CONCLUSION: Perinatal teach-back health education combined with comprehensive nutritional intervention is positively associated with better maternal and neonatal pregnancy outcomes and improved physiological and psychological status in women with GDM.

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