微信干预加强营养宣教应用于妊娠期糖尿病患者的效果分析

Effect Analysis of WeChat Intervention to Strengthen Nutrition Education in Patients with Gestational Diabetes

目的:研究微信干预加强营养宣教应用于妊娠期糖尿病患者的效果。方法:选取2017年1月~2018年12月于某院就诊的妊娠期糖尿病患者80例,按照随机数字表法分为对照组和研究组各40例。对照组行妊娠期常规护理,研究组在对照组的基础上行微信平台宣教模式,观察两组患者血糖水平、自我管理能力、母婴预后。结果:干预后,研究组空腹血糖(FPG)、餐后1h血糖(1hPG)、餐后2h血糖(2hPG)水平均显著低于对照组(P<0.05);体重控制显著优于对照组(P<0.05);饮食控制、合理运动、疾病知识掌握度均显著高于对照组(P<0.05);研究组妊娠孕产妇高血压、羊水过多、胎膜早破、产后出血均显著低于对照组(P<0.05);新生儿巨大儿、窒息、低血糖均显著低于对照组(P<0.05)。。结论:微信干预加强营养宣教应用于妊娠期糖尿病可显著降低血糖,提高患者自我管理能力,改善母婴预后,可临床推广。

Objective:To study the effect of WeChat intervention to strengthen nutrition education on gestational diabetes.Methods:80 patients with gestational diabetes treated in a hospital from January 2017 to December 2018 were selected and divided into control group(40 cases)and study group(40 cases).The control group received routine nursing during pregnancy,while the study group received the extra wechat platform education mode,then the blood glucose level,self-management ability and prognosis were observed.Results:After intervention,the fasting blood glucose(FPG),1h postprandial blood glucose(1hPG),and 2h postprandial blood glucose(2hPG)levels in the study group were significantly lower than those in the control group(P<0.05).The weight control was better than that in the control group(P<0.05).The diet control,reasonable exercise,disease knowledge mastery were higher than those in the control group(P<0.05).In the study group,maternal hypertension,excessive amniotic fluid,premature membranes rupture and postpartum hemorrhage were significantly lower than those in the control group(P<0.05),and the neonatal giants,asphyxia,and hypoglycemia were all significantly lower than those in the control group(P<0.05).Conclusion:WeChat intervention to strengthen nutrition education in gestational diabetes can reduce blood sugar,improve patient self-management ability,and improve mother and infant prognosis,which is worthy of clinical promotion.