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基于微信应用的妊娠期糖尿病患者健康管理的回顾性研究。

A retrospective study of WeChat app-based health management for patients with gestational diabetes mellitus.

机构信息

School of Nursing, Southern Medical University, Guangzhou, Guangdong, China.

Department of Obstetrics, Jiangmen Central Hospital, Jiangmen, Guangdong, China.

出版信息

J Obstet Gynaecol. 2025 Dec;45(1):2435065. doi: 10.1080/01443615.2024.2435065. Epub 2024 Nov 30.

Abstract

BACKGROUND

This study aimed to explore and evaluate the effectiveness of WeChat app-based health management in patients with gestational diabetes mellitus (GDM).

METHODS

This study retrospectively analysed a cohort of 100 patients with GDM. Since the application we used went live in April 2023, we enrolled patients from April 2022 to June 2022 into the control group ( = 50) and patients from April 2023 to June 2023 into the observation group ( = 50) for contemporaneous comparisons. The control group received routine health management procedures, whereas the observation group received app-based health management. Fasting plasma glucose, 2-hour postprandial blood glucose, and haemoglobin A1c levels were compared between the two groups before and four and eight weeks after app management; the incidence of adverse pregnancy outcomes and weight gain before and after pregnancy was also compared between the two groups.

RESULTS

Fasting plasma glucose and 2-hour postprandial blood glucose levels were lower in the observation group than in the control group four and eight weeks after intervention ( < 0.05). In addition, the incidence of adverse pregnancy outcomes and weight gain was lower in the observation group than in the control group ( < 0.05).

CONCLUSIONS

Implementing WeChat app-based health management can effectively improve blood glucose levels, reduce adverse pregnancy events in patients with GDM, and decrease weight gain during pregnancy.

摘要

背景

本研究旨在探索和评估基于微信应用程序的健康管理在妊娠糖尿病(GDM)患者中的有效性。

方法

本研究回顾性分析了 100 例 GDM 患者的队列。由于我们使用的应用程序于 2023 年 4 月上线,因此我们将 2022 年 4 月至 6 月入组的患者纳入对照组(n=50),将 2023 年 4 月至 6 月入组的患者纳入观察组(n=50)进行同期比较。对照组接受常规健康管理程序,观察组则接受基于应用程序的健康管理。比较两组患者干预前和干预后 4 周、8 周时的空腹血糖、餐后 2 小时血糖和糖化血红蛋白水平;比较两组患者妊娠前后不良妊娠结局和体重增加的发生率。

结果

干预后 4 周和 8 周时,观察组的空腹血糖和餐后 2 小时血糖水平均低于对照组(均<0.05)。此外,观察组的不良妊娠结局和体重增加发生率均低于对照组(均<0.05)。

结论

实施基于微信应用程序的健康管理可以有效改善 GDM 患者的血糖水平,降低不良妊娠事件的发生,并减少妊娠期间的体重增加。

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