Contemporary Nursing

Objective This study aims to evaluate the impact of evidence-based nursing on blood glucose control, pregnancy complications, and neonatal health in pregnant women with gestational diabetes mellitus. By comparing different treatment plans, the clinical effect of evidence-based nursing is verified to provide a scientific basis for the management of gestational diabetes mellitus. Methods A total of 66 pregnant women with gestational diabetes mellitus were included and divided into a control group and an observation group, with 33 cases in each group. The control group received conventional dietary control and exercise intervention, while the observation group received evidence-based nursing on the basis of conventional treatment, including regular blood glucose monitoring, personalized dietary guidance, and psychological counseling. The main observation indicators were pre-meal and 2-hour post-meal blood glucose levels and the incidence of pregnancy complications. Results The pre-meal blood glucose level in the observation group was 5.4 ±1.0 mmol/L, and the 2-hour post-meal blood glucose level was 7.5±1.3 mmol/L, which were significantly lower than those in the control group (5.8±1.2 mmol/L, 9.2 ± 1.5 mmol/L, P < 0.05). The incidences of gestational hypertension, fetal growth restriction, and preterm birth in the observation group were 6.1%, 9.1%, and 3.0%, respectively, which were lower than those in the control group (18.2%, 21.2%, and 6.1%, P < 0.05). Conclusion Evidence-based nursing shows significant effects in the treatment of gestational diabetes mellitus, improving blood glucose control, reducing the occurrence of complications, and enhancing neonatal health. This method has high clinical application value and is worthy of promotion.

Evidence-based nursing; Gestational diabetes mellitus; Blood glucose control; Pregnancy complications; Neonatal health