APP平台反馈式健康宣教联合个体化饮食护理在妊娠期糖尿病患者中的应用

Application of APP platform feedback health education combined with individualized diet nursing in patients with gestational diabetes mellitus

目的探讨APP平台反馈式健康宣教联合个体化饮食护理在妊娠期糖尿病患者中的应用效果。方法选择本院2020年5月至2021年3月收治的妊娠期糖尿病(Gestational diabetes mellitus,GDM)患者78例,根据入院顺序分为常规组和研究组各39例。常规组进行常规护理干预,研究组在常规组基础上实施微信手机APP平台反馈式健康宣教联合个体化饮食护理。比较两组血糖水平、自护能力、自我效能感、生活质量、妊娠结局及护理满意度。结果干预后研究组每日空腹血糖值(FPG)、糖化血红蛋白(HbA1c)、餐后2h血糖值(2hPG)水平低于常规组,自我护理能力测定表(ESCA)、自我效能感量表(GSES)、生活质量综合评定问卷-74(GQOL-74)评分高于常规组,不良妊娠结局总发生率低于常规组,护理满意度高于常规组(P<0.05)。结论APP平台反馈式健康宣教联合个体化饮食护理能提升GDM患者自护能力、自我效能感,改善血糖水平,减少不良妊娠结局发生风险,还可提高患者生活质量及护理满意度。

Objective To investigate the effect of APP platform feedback health education combined with individualized diet nursing in patients with gestational diabetes mellitus.Methods A total of 78 patients with GDM in our hospital from May 2020 to March 2021 were selected and divided into the conventional group and the study group according to the order of admission,with 39 cases in each group.The conventional group underwent conventional nursing interventions,and the study group implemented WeChat mobile APP platform feedback health education combined with individualized diet nursing on the basis of the conventional group.The blood glucose levels,self-care ability,self-efficacy,quality of life,pregnancy outcome,and nursing satisfaction were compared between the two groups.Results After the intervention,daily fasting blood glucose(FPG),glycated hemoglobin(HbA1c),and 2h postprandial glucose(2hPG)levels were lower in the study group than those in the conventional group;ESCA,GSES,and GQOL-74 scores were higher in the study group than those in the conventional group;the overall incidence of adverse pregnancy outcomes was lower in the study group than that in the conventional group,and the satisfaction with care was higher than that in the conventional group(P<0.05).Conclusion The APP platform feedback health education combined with individualized diet nursing can improve GDM patients'self-care ability and self-efficacy,improve blood glucose levels and reduce the risk of adverse pregnancy outcomes,as well as improve patients'quality of life and satisfaction with care.