Keywords
Gestational Diabetes Mellitus (GDM)
Chinese Version of Care Transition Measure (CTM)
Nursing Quality
Influencing Factors
Categories
How to Cite
Abstract
Objective: This study aimed to evaluate and analyze the quality of continuous nursing services received by hospitalized patients with gestational diabetes mellitus (GDM) during the discharge preparation stage. By using the Chinese version of the Care Transition Measure (CTM) and patient feedback, the actual effect of current services was clarified to provide a scientific basis for improving nursing quality.
Methods: A simple random sampling method was used to select 195 GDM patients hospitalized in the obstetrics department of a tertiary general hospital in Wuhan, Hubei Province, China, from January to April 2025 as research subjects. A "General Information Questionnaire" and the Chinese version of the CTM scale were used for the survey. Statistical analysis was performed using SPSS 27.0: categorical data were described by frequency/percentage; continuous data were described by mean±standard deviation; univariate analysis was conducted using t-test/analysis of variance (ANOVA); and multivariate analysis was performed using multiple linear regression.
Results: The total CTM score of 195 GDM patients was (50.67±6.70) points (66.01 points in 100-point scale, moderate level). The scores of each dimension from high to low were as follows: general self-care preparation (24.55±3.49) points, doctor-patient communication (12.61±1.53) points, symptom management (8.24±1.50) points, and written plan (5.27±1.46) points. Regression analysis showed that age (β=-4.215, P < 0.001), education level (β=1.263, P < 0.001), occupation (β=3.023, P < 0.001), monthly household income per capita (β=3.152, P < 0.001), and type of medical insurance (β=1.198, P < 0.05) were the main influencing factors of continuous nursing quality (all P < 0.05).
Conclusion: The quality of continuous nursing for GDM patients in a Wuhan hospital is at a moderate level, with the written plan being the weak link. It is necessary to develop personalized nursing plans based on patients' individual characteristics such as age and education level, focus on optimizing written guidance and symptom management services, and improve the quality of continuous nursing.
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