Université de Sousse, Faculté de Médecine de Sousse, Laboratoire de Recherche LR12ES03 "Qualité des Soins et Management des Services de Santé Maternelle", Sousse, Tunisia.
Université de Monastir, Ecole Supérieure des Sciences et Techniques de la Santé de Monastir, Monastir, Tunisia.
Pan Afr Med J. 2022 Nov 8;43:128. doi: 10.11604/pamj.2022.43.128.34084. eCollection 2022.
patient education is a key component of positive pregnancy and childbearing experiences, especially in women with gestational diabetes (GDM). Scant studies assessed the impact of tailored self-care education on pregnancy outcomes in pregnant women with gestational diabetes mellitus (GDM). This study aimed to assess the effect of a tailored-care education programme on maternal and neonatal outcomes in pregnant women with GDM during pregnancy and at birth.
this was a randomized controlled trial conducted in a university hospital in the centre of Tunisia, from October 2020 to May 2021. The intervention group (n=61) received a self-care education programme with the usual care plan for GDM, while the control group received only the usual care plan (n=60). This trial was registered in the Pan African Clinical Trials Registry under the registration number PACTR202106591503674.
at baseline, there was no significant difference between groups in terms of sociodemographic and clinical characteristics. The findings showed that the intervention significantly reduced maternal and neonatal hospitalizations (p=0.000), caesarean section (p=0.002), preterm labour (p=0.002), macrosomia (p=0.000), foetal distress (p=0.001), newborn respiratory complication (p=0.01) and hypoglycaemia (p=0.000).
implementing a tailored-care education for pregnant women with GDM had a positive impact on mother and infant clinical outcomes. Midwives and endocrinologists should use this programme to reduce maternal and neonatal complications during and after pregnancy.
患者教育是积极妊娠和生育体验的关键组成部分，尤其对于患有妊娠期糖尿病（GDM）的女性而言。鲜有研究评估针对妊娠期糖尿病患者的个体化自我护理教育对妊娠结局的影响。本研究旨在评估针对妊娠期糖尿病患者的个体化护理教育方案对妊娠期间和分娩时母婴结局的影响。
这是一项在突尼斯中部一所大学医院进行的随机对照试验，于 2020 年 10 月至 2021 年 5 月进行。干预组（n=61）接受自我护理教育计划和针对 GDM 的常规护理计划，而对照组仅接受常规护理计划（n=60）。本试验在泛非临床试验注册中心注册，注册编号为 PACTR202106591503674。
基线时，两组在社会人口统计学和临床特征方面无显著差异。研究结果表明，干预组显著降低了母婴住院率（p=0.000）、剖宫产率（p=0.002）、早产率（p=0.002）、巨大儿发生率（p=0.000）、胎儿窘迫发生率（p=0.001）、新生儿呼吸并发症发生率（p=0.01）和低血糖发生率（p=0.000）。
对妊娠期糖尿病患者实施个体化护理教育对母婴临床结局有积极影响。助产士和内分泌科医生应使用该方案来减少妊娠期间和之后母婴并发症。
