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比较个体咨询与社会应用咨询对妊娠糖尿病妇女自我护理和生活质量的影响。

Comparing the effect of individual counseling with counseling on social application on self-care and quality of life of women with gestational diabetes.

机构信息

Arak University of Medical Sciences, School of Medicine, Arak, Iran.

Department of Midwifery, School of Medicine, Traditional and Complementary Medicine Research Center (TCMRC), Arak University of Medical Sciences, Basij Square, Sardasht Region, Peyambare-Azam Building, Arak, Iran.

出版信息

Prim Care Diabetes. 2021 Oct;15(5):842-847. doi: 10.1016/j.pcd.2021.05.009. Epub 2021 Jun 30.

Abstract

INTRODUCTION

The present study aimed to compare the effect of two different forms of face-to-face and counseling on a social application, i.e., WhatsApp, on self-care and quality of life of women with gestational diabetes.

METHODS

The present research was an educational trial with control group, which was conducted on diabetic women between 24 and 26 weeks of pregnancy. A total of 126 subjects were included in the study using the convenient sampling method. They were assigned into three groups. All of the participants answered the questionnaires gestational diabetes self-care, and quality of life at the beginning and end of the study. The GATHER approach to counseling (G = Greeting, A = Ask, T = Tell, H = Help, R = Return) was performed in four 45-min sessions for face-to-face and WhatsApp groups in the pregnancy weeks of 27, 28, 29, and 30. The subjects in the control group received only the routine cares for gestational diabetes. T test, Chi squared test, and ANOVA repeated measurement test were used to analyze the data.

RESULTS

Findings showed a significant difference among the three groups in self-care and quality of life (p = 0.001). There was also a significant difference among the three groups in fasting blood sugar after the intervention (p = 0.005).

CONCLUSION

Self-care counseling, both in the form of face-to-face and on social networks, improved the score of self-care and quality of life as well as glucose tolerance test (GTT) in women with gestational diabetes.

摘要

简介

本研究旨在比较两种不同形式的面对面和咨询方式,即 WhatsApp,对女性妊娠期糖尿病自我护理和生活质量的影响。

方法

本研究是一项具有对照组的教育试验,在 24 至 26 周妊娠的糖尿病女性中进行。共有 126 名受试者采用方便抽样法被纳入研究。他们被分为三组。所有参与者在研究开始和结束时都回答了妊娠期糖尿病自我护理和生活质量的问卷。在妊娠 27、28、29 和 30 周,使用 GATHER 咨询方法(G=问候,A=询问,T=告知,H=帮助,R=回复)对面对面和 WhatsApp 组进行了四次 45 分钟的咨询。对照组仅接受常规的妊娠期糖尿病护理。使用 T 检验、卡方检验和重复测量方差分析检验来分析数据。

结果

结果表明,三组在自我护理和生活质量方面存在显著差异(p=0.001)。干预后空腹血糖也存在显著差异(p=0.005)。

结论

无论是面对面还是通过社交网络进行自我护理咨询,都可以改善妊娠期糖尿病女性的自我护理和生活质量评分以及糖耐量试验(GTT)。

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