Chen Lufang, Zhang Wei, Fu Aiping, Zhou Lin, Zhang Shuixian
Department of Obstetrics, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine Hangzhou 310006, Zhejiang, China.
Am J Transl Res. 2022 May 15;14(5):3143-3153. eCollection 2022.
To determine the effects of WeChat platform-based nursing intervention on the disease control and pregnancy outcomes of patients with gestational diabetes mellitus (GDM).
A total of 112 patients with GDM treated in our hospital from December 2018 to December 2020 were enrolled, and their clinical data were retrospectively analysed. Among them, 61 pregnant women were given routine nursing as the control group (Con group), and the other 51 were given WeChat platform-based interactive continuous nursing intervention as the observation group (Obs group). The blood glucose (BG) of the two groups before and after nursing was compared, and their self-management level and nursing satisfaction were evaluated. The maternal and infant outcomes of the two groups were also compared.
Before nursing, BG and glycosylated hemoglobin (HbA1c) levels in the two groups were comparatively high, without notable difference between the two groups (P>0.05); after nursing, the levels of fasting blood glucose, 2 hour postprandial blood glucose (2h-PG), and HbA1c in the Obs group decreased significantly, and were significantly lower than those in the Con group (P<0.05). Additionally, the two groups were similar in self-management level scores before nursing (P>0.05), while after nursing, the scores of diet management, exercise management, BG monitoring management and foot care management in the Obs group increased and were significantly higher than those in the Con group (P<0.05). The Obs group expressed significantly higher nursing satisfaction than the Con group (χ=6.078, P<0.05). The total incidence of adverse pregnancy outcome in Obs group was lower than that in Con group (χ-5.566, P<0.05). According to the analysis of risk factors, older age, pre-pregnancy BMI ≥24 kg/m, and history of diabetes mellitus were independent risk factors for adverse pregnancy outcomes of pregnant women, while WeChat platform-based interactive continuous nursing was a protective factor against adverse pregnancy outcome (P<0.05).
WeChat platform-based interactive continuous nursing intervention can help patients master comprehensive self-management skills to achieve good control of GDM, improve their satisfaction toward nursing and lower the risk of adverse outcome.
探讨基于微信平台的护理干预对妊娠期糖尿病（GDM）患者疾病控制及妊娠结局的影响。
选取2018年12月至2020年12月在我院治疗的112例GDM患者，回顾性分析其临床资料。其中，61例孕妇给予常规护理作为对照组（Con组），另外51例给予基于微信平台的互动式持续护理干预作为观察组（Obs组）。比较两组护理前后的血糖（BG）水平，评估其自我管理水平和护理满意度。同时比较两组母婴结局。
护理前，两组BG和糖化血红蛋白（HbA1c）水平较高，两组间差异无统计学意义（P>0.05）；护理后，观察组空腹血糖、餐后2小时血糖（2h-PG）及HbA1c水平显著降低，且显著低于对照组（P<0.05）。此外，两组护理前自我管理水平评分相近（P>0.05），护理后观察组饮食管理、运动管理、BG监测管理及足部护理管理评分升高，且显著高于对照组（P<0.05）。观察组护理满意度显著高于对照组（χ=6.078，P<0.05）。观察组不良妊娠结局总发生率低于对照组（χ-5.566，P<0.05）。经危险因素分析，孕妇年龄较大、孕前BMI≥24 kg/m及糖尿病史是不良妊娠结局的独立危险因素，而基于微信平台的互动式持续护理是不良妊娠结局的保护因素（P<0.05）。
基于微信平台的互动式持续护理干预可帮助患者掌握综合自我管理技能，实现GDM的良好控制，提高其对护理的满意度，降低不良结局风险。
