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Frontiers in Medical Science Research, 2026, 8(3); doi: 10.25236/FMSR.2026.080302.

Effect of a Three-Dimensional Doctor-Nurse-Patient Collaborative Model on Maternal and Infant Outcomes in Elderly Patients with Gestational Diabetes Mellitus in the Context of Internet+ Smart Hospitals

Author(s)

Yanqiong Lin, Yunmeng Chen, Dan Lin

Corresponding Author:
Yanqiong Lin
Affiliation(s)

Department of Obstetrics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China

Abstract

This study investigated the effect of a three-dimensional doctor-nurse-patient collaborative model integrated with an Internet+ smart hospital platform on elderly patients with gestational diabetes mellitus (GDM). A total of 120 eligible patients were randomly assigned to an intervention group, which received this integrated model, or a control group receiving routine care. The intervention group demonstrated significantly greater improvements in key metabolic indicators—including fasting and postprandial blood glucose, glycated hemoglobin, lipid profiles, and body mass index—compared to the control group. Furthermore, knowledge of GDM and self-efficacy scores were significantly higher in the intervention group. Regarding clinical outcomes, the intervention group exhibited a substantially lower cesarean section rate and a reduced incidence of neonatal abnormal blood glucose. The quality of life at 42 days postpartum was also significantly better among participants who received the collaborative model. These findings suggest that this innovative, technology-supported tripartite collaboration model is an effective strategy for improving glycemic control, enhancing patient self-management capabilities, and optimizing both maternal and infant outcomes in elderly GDM patients, offering a promising approach for contemporary perinatal care.

Keywords

Elderly; Gestational diabetes mellitus; Internet+; Smart hospital; Three-dimensional doctor-nurse-patient collaborative model

Cite This Paper

Yanqiong Lin, Yunmeng Chen, Dan Lin. Effect of a Three-Dimensional Doctor-Nurse-Patient Collaborative Model on Maternal and Infant Outcomes in Elderly Patients with Gestational Diabetes Mellitus in the Context of Internet+ Smart Hospitals. Frontiers in Medical Science Research (2026), Vol. 8, Issue 3: 11-17. https://doi.org/10.25236/FMSR.2026.080302.

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