Combination of comprehensive thermal care and detail-oriented nursing care in the operating room for managing gestational diabetes mellitus

doi:10.12998/wjcc.v12.i25.5706

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Cases. Sep 6, 2024; 12(25): 5706-5712
Published online Sep 6, 2024. doi: 10.12998/wjcc.v12.i25.5706

Combination of comprehensive thermal care and detail-oriented nursing care in the operating room for managing gestational diabetes mellitus

Ya-Ya Pan, Qiu-Xiang Zhang

Ya-Ya Pan, Department of Operating Room, Suzhou Integrated Traditional Chinese and Western Medicine Hospital, Suzhou 215100, Jiangsu Province, China

Qiu-Xiang Zhang, Department of Gastroenterology, Suzhou Integrated Traditional Chinese and Western Medicine Hospital, Suzhou 215100, Jiangsu Province, China

Author contributions: Pan YY designed the research study; Pan YY and Zhang QX performed the primary literature and data extraction, analyzed the data and wrote the manuscript; Pan YY and Zhang QX were responsible for revising the manuscript for important intellectual content; all authors read and approved the final version.

Institutional review board statement: The study was reviewed and approved by the Science and Research Office of Suzhou Integrated Traditional Chinese and Western Medicine Hospital.

Informed consent statement: All study participants or their legal guardians provided informed written consent for personal and medical data collection before study enrolment.

Conflict-of-interest statement: The authors declare no conflicts of interest.

Data sharing statement: No additional data are available.

Corresponding author: Qiu-Xiang Zhang, MNurs, Associate Chief Nurse, Department of Gastroenterology, Suzhou Integrated Traditional Chinese and Western Medicine Hospital, No. 39 Xiashatang, Suzhou 215100, Jiangsu Province, China. zqx412383572@qq.com

Received: May 21, 2024
Revised: June 29, 2024
Accepted: July 4, 2024
Published online: September 6, 2024
Processing time: 56 Days and 15.9 Hours

Abstract

BACKGROUND

As the incidence of gestational diabetes mellitus (GDM) increases, its impact on cesarean sections has attracted widespread attention. Omni-directional, insulated care and detailed care are of great significance in this patient population, as they can effectively improve the quality of care in the operating room.

AIM

To explore the effect of the integrated use of comprehensive thermal insulation.

METHODS

Women with GDM who underwent cesarean sections at our hospital between April 2023 and February 2024 were included in this retrospective study. The participants were randomly allocated to two groups: The observation and control groups. An all-around thermal insulation nursing strategy, including preoperative, intraoperative, and postoperative temperature maintenance, was adopted. In addition, detailed nursing care measures, such as blood glucose monitoring, wound care, and psychological counseling, were implemented in the observation group.

RESULTS

Comparative observation revealed that all-around thermal insulation care can effectively prevent the incidence of maternal hypothermia caused by surgery, reduce the risk of infection, and promote blood circulation. The implementation of detailed care improved maternal satisfaction and reduced the incidence of complications via the appropriate management of fluctuations in the blood glucose levels and optimization of the nursing process before and after surgery according to the patient's characteristics.

CONCLUSION

The application of a combination of comprehensive thermal insulation and detailed nursing care improved the overall quality of perioperative care.

Keywords: Ischemic-hypoxic encephalopathy; Magnetic resonance imaging; Neonate; Diagnostic efficacy; Diabetes

Core Tip: The application of all-around thermal insulation nursing and detail-oriented nursing in the operating room to the management of women with gestational diabetes mellitus undergoing cesarean section surgery can significantly improve the surgical effect, shorten the duration of hospital stay, and improve the quality of life of the patients. Thus, its extensive implementation in clinical practice must be promoted.