网络自我管理对妊娠期糖尿病患者行为和血糖的影响

Effects of network self-management on behavior and blood glucose in patients with gestational diabetes mellitus

目的:评估基于网络自我管理项目对妊娠期糖尿病患者焦虑、抑郁和血糖水平的影响。方法:选取明确诊断为妊娠期糖尿病,在内分泌科接受门诊治疗的200例患者。随机查表法分为实验组(100例)和对照组(100例)。实验组患者采用网络自我管理项目对妊娠期糖尿病进行干预。对照组患者采用常规的健康教育及血糖管理进行干预。3个月后,通过电子邮件发放测量表对两组进行关于焦虑和抑郁的评测。在干预前、干预后4周、干预后8周分别测量空腹血糖、餐后1 h血糖和糖化白蛋白。结果:实验组患者在干预后3个月焦虑、抑郁方面评分优子对照组,差异具有统计学意义(P<0.05)。实验组患者在干预后4周、8周血糖控制水平均优于对照組,差异具有统计学意义(P<0.05)。结论:基于网络自我管理项目可以降低妊娠期糖尿病患者焦虑、抑郁水平,并且血糖方面的实验室检查指标控制良好。

Objective:To evaluate the effect of web-based self-management program on anxiety,depression and blood glucose levels in patients with gestational diabetes.Methods:200 patients with definite diagnosis of gestational diabetes who received outpatient treatment in the Department of Endocrinology were selected.The patients were randomly divided into experimental group(n=100)and control group(n=100).In the experimental group,a web-based self-management program was used to intervene on gestational diabetes.Routine health education and blood glucose management were used for intervention in the control group.After 3 months,both groups were evaluated regarding anxiety and depression by emailing a measurement form.Fasting blood glucose,lh blood glucose and glycosylated albumin were measured before intervention,4 weeks after intervention and 8 weeks after intervention.Results:The scores of anxiety and depression in the experimental group were better than those in the control group at 3 months after intervention,and the difference was significant(P<0.05).The blood glucose control level of the experimental group was better than that of the control group at 4 and 8 weeks after intervention,and the difference was significant(P<0.05).Conclusion:Web-based self—management program can reduce the level of anxiety and depression in patients with gestational diabetes,and control the laboratory results in terms of blood glucose well.