Clinical Nursing·Medical Nursing
Application of teach-back method on blood glucosed and compliance for patients′ gestational diabetes mellitus
Sun Xiaona, Zhang Chao, Zhang Weihong, Yao Liping, Ji Xuemei
Published 2019-07-21
Cite as Chin J Prac Nurs, 2019,35(21): 1628-1632. DOI: 10.3760/cma.j.issn.1672-7088.2019.21.006
Abstract
ObjectiveTo explore the effects of teach-back on health education for patients′ gestational diabetes mellitus.
MethodsA total of 90 pregnant women with gestational diabetes mellitus from obstetrics outpatient were recruited and randomly assigned to either case or control group. The case and control groups received the same treatment and health education, the only difference was teach-back method in the case group,to compare blood glucose, compliance and outcome of pregnancy.
ResultsAfter the intervention, fasting blood glucose (FPG), 2h postprandial blood glucose (2h-ppg) and glycosylated hemoglobin (HbA1c) in the case group were respectively (4.75±0.30) mmol/L, (5.69±0.74) mmol/L, (5.15±0.28)%, control group were respectively (5.01±0.30) mmol/L, (6.15±0.70) mmol/L, (5.68±0.33)%. The difference was statistically between the two groups (t=-4.631、-3.019、-8.020, P<0.05 or 0.01). The treatment compliance rate, gestational hypertension, hyperhydramnios, cesarean section and macrosomia rate in the case group were respectively 93.2% (41/44), 6.8% (3/44), 11.4% (5/44), 13.6% (6/44), 2.3% (1/44), control group were respectively 81.4% (35/43), 23.3% (10/43), 30.2% (13/43), 32.6% (14/43), 14.0% (6/43), the difference was statistically between the two groups (U=570.000, χ2=4.398-5.775, P<0.01 or 0.05).
ConclusionTeach-back method is methodis a good health method and to reduce glucose level and improve Compliance of therapy. It is worthy of promotion.
Key words:
Teach- back; Gestational diabetes mellitus; Blood glucose; Compliance
Contributor Information
Sun Xiaona
Emergency and Critical Care Unit of Qingdao Central Hospital, Qingdao 266000, China
Zhang Chao
Endocrinology Department of Qingdao Central Hospital, Qingdao 266000, China
Zhang Weihong
Radiology Department of Qingdao Central Hospital, Qingdao 266000, China
Yao Liping
Nursing Department of Qingdao Municipal Hospital, Qingdao 266000, China
Ji Xuemei
Obstetric Department of Qingdao Central Hospital, Qingdao 266000, China