Evaluation of Effect Assessment on Case-Management of Women with Gestational Diabetes Mellitus

摘要

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.