Obstetric Research Journal Dayandante

Journal Article
Submitted by:
Dayandante, Angelyn N.
2D-BSN
Submitted to:
Ms. Jocelyn Danga, RN
March 2023
1. Summary of Journal Article
1.1 Title
Effect of Evidence-Based Diet Nursing on Intestinal Flora and Maternal and
Infant Prognosis in Patients with Gestational Diabetes.
1.2 Author/s
Jiang, Ying; Qiu, Chunbo; Wang, Yuanping; He, Bin
1.3 Source of the Article
Jiang, Y., Qiu, C., Wang, Y., & He, B. (2022, September 1). Effect of
Evidence-Based Diet Nursing on Intestinal Flora and Maternal and Infant Prognosis in
Patients with Gestational Diabetes. Evidence-Based Complementary and Alternative
Medicine, 2022, 1–7. https://doi.org/10.1155/2022/1241530.
1.4 Objectives of the Study
This study aims to track how patients with gestational diabetes' prognosis for
mother and child respond to evidence-based diet nursing.
1.5 Sample
A total of 130 GDM patients who were admitted to their hospital between January
2020 and January 2022 were chosen, with 65 cases in each group, and separated into two
groups based on the therapeutic strategy. Although the observation group received
evidence-based nursing along with diet nursing, the control group received regular
nursing and diet nursing. The two groups' differences in blood glucose index and
intestinal flora before and after the intervention were identified, and compliance behavior,
pregnancy outcomes, and perinatal outcomes were statistically assessed for each group.
1.6 Methodology
The control group received both usual nursing care and diet nursing, and regular
measurements of body weight, blood pressure, and blood glucose were taken to provide
dietary and activity recommendations. According to the doctor's recommendations,
patients who had trouble controlling their blood sugar through diet and exercise were
given insulin therapy. They were also given instructions on how to properly use an
insulin pen.
1.7 Results and Conclusion
Following the intervention, both groups' fasting blood sugar, 2 h postprandial
blood sugar, and HbA1c steadily decreased (P < 0.05). Subsequent comparison of the
groups revealed that the observation group had lower fasting blood glucose, 2 h
postprandial blood glucose, and HbA1c values than the control group (P < 0.05).
Bifidobacterium, Lactobacillus, and Bifidobacterium E ratios changed following
intervention. The amount of coli rose over time in both groups (P < 0.05). The ratios of
Bifidobacterium, Lactobacillus, and Bifidobacterium to E.coli were also compared
among the groups. E. coli were greater in the observation group than in the control group
(P < 0.05). The observation group's blood glucose, regular prenatal examination, and diet
management rates were 100.00%, 100.00%, and 95.38%, respectively. These numbers
were higher than the control group's rates of 89.23%, 92.31%, and 84.62%, and the
difference was significant (P < 0.05). The observation group's cesarean section and
pregnant infection rates were 0.00% and 33.85%, respectively. These numbers were
significantly lower than the control group's rates of 6.15% and 60.00% (P > 0.05). In
comparison to the control group's rates of macrosomia, neonatal hypoglycemia, and
neonatal hyperbilirubinemia, which were higher, the observation group's rates were lower
at 1.54%, 3.08%, and 9.23%, respectively. These changes were statistically significant (P
< 0.05). Neonatal asphyxia and fetal malformation rates were 0.00% and 1.54%,
respectively, in the observation group and were not statistically different from 1.54% to
7.69% in the control group (P > 0.05).
In GDM patients, the implementation of evidence-based care along with
nutritional care can enhance gut flora, manage blood sugar, enhance patient compliance
behavior, and improve outcomes for mothers and their unborn children.
1.8 Nursing Implications and Personal Reaction
We are all aware that GDM can have a negative impact on a mother's and child's
health. It is crucial that we understand the fundamental elements of intervention. They
may acquire enough about health topics in health education to widen their knowledge. It's
necessary to evaluate individuals' welfare to lower the possibility of long-term negative
consequences from their experiences. Diet nursing is used in this study as the cornerstone
of evidence-based nursing to treat GDM.
In conclusion, dietary modifications and the use of evidence-based treatments can benefit
GDM patients' intestinal flora, blood glucose control, compliance behavior, and maternal
and fetal outcomes.

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Journal Article

Ms. Jocelyn Danga, RN

Effect of Evidence-Based Diet Nursing on Intestinal Flora and Maternal and

Infant Prognosis in Patients with Gestational Diabetes.

Jiang, Ying; Qiu, Chunbo; Wang, Yuanping; He, Bin

1.3 Source of the Article

Patients with Gestational Diabetes. Evidence-Based Complementary and Alternative

Medicine, 2022, 1–7. https://doi.org/10.1155/2022/1241530.

1.4 Objectives of the Study

mother and child respond to evidence-based diet nursing.

dietary and activity recommendations. According to the doctor's recommendations,

1.7 Results and Conclusion

Following the intervention, both groups' fasting blood sugar, 2 h postprandial

Bifidobacterium, Lactobacillus, and Bifidobacterium E ratios changed following

Bifidobacterium, Lactobacillus, and Bifidobacterium to E.coli were also compared

comparison to the control group's rates of macrosomia, neonatal hypoglycemia, and

7.69% in the control group (P > 0.05).

In GDM patients, the implementation of evidence-based care along with

1.8 Nursing Implications and Personal Reaction

health. It is crucial that we understand the fundamental elements of intervention. They

necessary to evaluate individuals' welfare to lower the possibility of long-term negative

of evidence-based nursing to treat GDM.

and fetal outcomes.

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