摘要
目的针对高龄妊娠期糖尿病患者采取微信平台健康干预途径,观察其对高龄妊娠期糖尿病患者血糖、焦虑情绪、自我效能及母婴结局等的影响效果。方法随机选取210例妊娠期糖尿病孕妇为研究对象,分为研究组、常规组,分别给予微信平台健康干预、常规健康干预途径,对照分析干预前后血糖水平、焦虑情绪、自我效能及母婴结局指标的变化。结果研究组患者干预前空腹血糖(FBG)、餐后2h血糖(2 h PBG)、糖化血红蛋白(Hb A1c)值与常规组比较差异无统计学意义(P>0.05),干预后研究组患者血糖指标明显低于常规组(P<0.05);干预后焦虑情绪评分方面,研究组患者明显低于常规组(P<0.05);干预后研究组患者密西根糖尿病管理评定量表(DCP)指标评估结果均明显高于常规组(P<0.05);妊娠结局指标中分娩孕周、产后血糖达标率、孕期体重超标率方面组间比较差异无统计学意义(P> 0.05),但阴道分娩、产后并发症率分娩组间差异有统计学意义(P<0.05),研究组患者新生儿不良结局指标明显低于常规组(P<0.05)。结论通过对高龄妊娠期糖尿病(GDM)患者实施微信平台健康干预途径,采取图片、视频、音频、文字等方式宣讲GDM健康知识,对控制血糖水平、缓解患者焦虑情绪有明显效果,提升自我效能并改善母婴结局,具有较高的临床推广应用价值。
Objective To observe the effect of Wechat platform health intervention on blood glucose, anxiety, self-efficacy and maternal and infant outcome in advanced pregnant women with gestational diabetes mellitus(GDM).Methods 210 pregnant women with gestational diabetes were randomly selected as the research object, and were divided into study group and routine group, and given We Chat platform health intervention and routine health intervention, respectively. The changes of blood glucose level, anxiety, selfefficacy and maternal and infant outcome before and after intervention were analyzed.Results There were no differences in the fasting blood glucose(FBG), 2 h postprandial blood glucose(2 hPBG), and glycated hemoglobin(Hb A1 c) between the study group and the routine group before intervention(P> 0. 05). After intervention, the blood glucose indexes and the anxiety score of the study group were significantly lower than those of the routine group(P< 0. 05). However, after the intervention,all of the evaluation results of the Michigan Group Diabetes Management Rating Scale(DCP) indicators of the study group were significantly higher than those in the routine group(P< 0. 05). There are no differences in the gestational week, postpartum blood glucose compliance rate, and pregnancy overweight rate between the groups(P> 0. 05). However,There were significant differences in the vaginal delivery rate and the postpartum complication rate between the two groups(P< 0. 05). The neonatal adverse outcomes of the study group were significantly lower than those of the routine group(P< 0. 05).Conclusion Through the implementation of Wechat platform health intervention for the advanced pregnant women with GDM, the health knowledge of GDM is publicized by means of picture, video, audio and text,which has obvious effect on controlling blood sugar level, relieving patients’ anxiety, improving self-efficacy and maternal and infant outcomes. It has high value of clinical popularization and application.
作者
陈菲娜
梁灿容
于丹丹
王丽娟
张凯花
叶一裕
CHEN Fei Na;LIANG Can Rong;YU Dan Dan;WANG Li Juan;ZHANG Kai Hua;YE Yi Yu(Department of Obstetrics,Maternal and Child Health Hospital of Foshan City,Foshan 528000,China)
出处
《中国妇幼卫生杂志》
2020年第6期21-27,共7页
Chinese Journal of Women and Children Health
关键词
妊娠期糖尿病
微信平台
健康干预
血糖
焦虑情绪
自我效能
母婴结局
gestational diabetes mellitus(GDM)
We Chat platform
health intervention
blood glucose
anxiety
self-efficacy
maternal and child outcomes
