基于微信群的综合干预措施对提升妊娠糖尿病患者家庭化自我管理水平的效果

Effect of comprehensive intervention based on WeChat group on family self-management of pregnant diabetics

【目的】探讨基于微信群的综合干预措施对提升妊娠糖尿病患者家庭化自我管理水平的效果。【方法】选取2017年1-4月在上海市浦东新区妇幼保健院门诊就诊的妊娠期糖尿病患者57例,通过微信群为媒介开展以运动疗法为主的综合干预措施,指导妊娠糖尿病患者进行自我管理3个月,观察患者每日运动时间、孕中晚期体重增重及血糖的变化。【结果】干预后患者平均每日自主运动时间>90 min的人数增加64.91%,而<60 min的人数减少50.88%;干预后患者孕中晚期体重增重达标率显著提高(31.58%vs 85.96%,P<0.05);干预后空腹及餐后2 h血糖较干预前明显下降(5.62 mmol/L vs 4.59 mmol/L,P<0.05;7.89 mmol/L vs 6.02 mmol/L,P<0.05)。【结论】通过微信群的综合干预措施,能提高妊娠糖尿病患者孕期运动的依从性及自我管理的效果,从而有效的控制血糖及孕晚期体重增重。

[Objective]To explore the effect of comprehensive intervention measures based on WeChat group on family self-management for gestational diabetes mellitus.[Methods]With 57 cases of gestational diabetes selected in January-April 2017 at the outpatient clinic of Pudong New Area Women and Children′s Health Hospital in Shanghai,comprehensive interventions based on sports therapy through WeChat group were carried out,the self-management of pregnant diabetics gave guidance for 3 months,and observation was done of the items as the daily exercise time of patients,weight gain and changes in blood sugar in the late stages of pregnancy.[Results]After intervention,the patients of average daily self-exercise time>90 min increased by 64.91%,while those<60 min decreased by 50.88%;After intervention,the patient′s weight gain rate in middle and late pregnancy increased significantly(31.58%vs 85.96%,P<0.05);postprandial 2 h blood sugar decreased significantly after intervention(5.62 mmol/L vs 4.59 mmol/L,P<0.05;7.89 mmol/L vs 6.02 mmol/L,P<0.05).[Conclusion]Through the comprehensive intervention of WeChat group,we can improve the compliance and self-management effect on pregnancy exercise for patients with diabetes so as to effectively control blood sugar and weight gain in the late stages of pregnancy.