International Journal of Nursing Research

Eczema during pregnancy is a common pregnancy-specific skin disease. When it coexists with metabolic disorders during pregnancy (such as diabetes), the condition becomes more complicated and the difficulty of treatment increases significantly. This article reports the diagnosis, treatment and nursing process of a patient with gestational eczema and gestational diabetes mellitus (type A1) at 36⁺⁴ weeks of gestation. The patient suddenly developed scattered rashes all over the body, huge erythema on the abdomen (29cm×33cm) around 34 weeks of pregnancy, accompanied by severe itching, skin ulceration, exudation and nocturnal pain, which seriously affected sleep. After the initial treatment with boron compound lotion was ineffective, the application of traditional Chinese medicine externally (such as purslane) combined with wet compress with magnesium sulfate significantly improved the skin lesions (the area of erythema decreased from 29×33 cm to 20×23 cm, and the ulceration and scabbing healed). The results show that external application of traditional Chinese medicine combined with wet compress of magnesium sulfate can effectively control the inflammation and exudation of severe eczema during pregnancy and promote wound healing. Based on literature analysis, this paper focuses on elaborating the characteristic advantages of traditional Chinese medicine in the treatment of pregnancy eczema, key points of standardized nursing, psychological counseling strategies, post-treatment preventive measures and individualized dietary guidance, providing references for clinical practice.

Eczema during pregnancy; Traditional Chinese medicine; External treatment methods; Nursing; Gestational diabetes; Psychological intervention; Dietary restrictions