"互联网+"血糖管理模式在妊娠期糖尿病患者中的应用

Effect of"Internet+"blood glucose management model in patients with gestational diabetes mellitus

目的探讨"互联网+"血糖管理模式在妊娠期糖尿病(GDM)患者中的应用效果。方法采用方便抽样法,选取2020年1月—2021年3月在六安市人民医院门诊就诊的95例GDM患者为研究对象,按照随机数字表法将患者分为对照组(n=47)和干预组(n=48),对照组予以常规护理管理,干预组在常规护理基础上予以"互联网+"血糖管理模式。比较管理前后患者糖尿病管理自我效能量表(DMSES)、GDM自我管理行为量表得分与血糖控制情况,包括空腹血糖、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c),并统计妊娠结局。结果管理后,干预组DMSES、GDM自我管理行为得分均高于对照组,2 hPG、空腹血糖及HbA1c水平均低于对照组,差异有统计学意义(P<0.05);干预组剖宫产、羊水量异常、新生儿低血糖发生率均低于对照组,差异有统计学意义(P<0.05)。结论"互联网+"血糖管理模式可提高GDM患者自我效能,加强自我管理行为,有效控制血糖水平,改善母婴妊娠结局。

Objective To explore the effect of"Internet+"blood glucose management model in patients with gestational diabetes mellitus(GDM).Methods From January 2020 to March 2021,convenience sampling was used to select 95 GDM patients who were treated in the Outpatient Department of Lu'an People's Hospital of Anhui Province as the research object.According to the random number table method,the patients were divided into the control group(n=47)and the intervention group(n=48).The control group received routine nursing,and the intervention group was given the"Internet+"blood glucose management model on the basis of routine nursing.The scores of the Diabetes Management Self-Efficacy Scale(DMSES),GDM Self-management Behavior Scale and blood glucose control,including fasting blood glucose,2-hour postprandial blood glucose(2hPG),and glycosylated hemoglobin(HbA1c),were compared before and after management,and the pregnancy outcomes were calculated.Results After management,the DMSES and GDM self-management behavior scores of the intervention group were higher than those of the control group,and the 2 hPG,fasting blood glucose and HbA1c were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidences of cesarean section,abnormal amniotic fluid volume and neonatal hypoglycemia in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions The"Internet+"blood glucose management model can improve the self-efficacy of GDM patients,strengthen self-management behaviors,effectively control blood glucose,and improve maternal and infant pregnancy outcomes.