基于微信平台的健康教育对高龄产妇妊娠期糖尿病护理效果研究

Research of nursing effect on elderly puerpera with gestational diabetes mellitus based on health education of WeC hat platform

目的:探讨基于微信平台的健康教育和饮食指导对高龄产妇妊娠期糖尿病(GDM)护理效果的影响。方法:选取2014年4月~2017年4月我院进行产前检查的GDM的高龄产妇120例,采用随机字母表法分为观察组与对照组,对照组采用常规护理,观察组产妇采用基于微信平台的健康教育和饮食指导,比较两组产妇血糖控制水平、分娩方式、妊娠结局及护理满意度。结果:观察组产妇护理后空腹血糖、餐后2 h血糖及糖化血红蛋白值均显著低于对照组(P<0.05);观察组产妇剖宫产及阴道助产率均明显低于对照组(P<0.05),顺产率高于对照组(P<0.05);观察组产妇不良妊娠发生率明显低于对照组(P<0.05),护理满意度高于对照组(P<0.05)。结论:基于微信平台的健康教育和饮食指导能够降低高龄产妇GDM血糖指标,提高顺产率,改善妊娠结局,并能够促进护理满意度提升。

Objective： To explore the effect of nursing effect on elderly puerpera with gestational diabetes mellitus（ GDM） based on health education and dietary guidance of We Chat platform. Methods： To select 120 cases of GDM elderly puerperal had antenatal examination in our hospital from April 2014 to April 2017,divide them into observation group and control group by random alphabet method. Control group was given routine nursing,and the observation group was given health education and dietary guidance of We Chat platform,compare blood glucose levels,childbirth way,pregnancy outcome and nursing satisfaction of two groups. Results： Fasting blood-glucose,blood glucose two hours after meal and glycosylated hemoglobin after nursing of observation group were lower than that of control group（ P 〈0. 05）. Cesarean delivery and vagina delivery rate of puerperal were obviously lower than that of control group（ P〈 0. 05） and natural childbirth rate higher than that of control group（ P〈 0. 05）. The rate of adverse childbirth was obviously lower than that of control group（ P 〈0. 05）,nursing satisfaction was higher than that of control group（ P〈 0. 05）. Conclusion： It was concluded that health education and dietary guidance of We Chat platform can lower GDM blood glucose index of elderly puerperal,increase the rate of natural childbirth,improve pregnancy outcome,and promote the promotion of nursing satisfaction.