摘要
目的构建糖尿病居家护理平台并观察其在妊娠期糖尿病患者随访管理中的应用效果。方法糖尿病居家护理平台包括护士端和患者端两个端口,护士和患者通过身份识别和绑定技术使用平台。便利选取2015年11月—2016年12月门诊收治的妊娠期糖尿病患者200例为研究对象,以患者自愿为原则分为实验组和对照组,每组100例。两组均接受常规的随访管理,实验组另外接受糖尿病居家护理平台管理。结果两组在孕周、分娩产式、产后大出血、产妇其他并发症、新生儿宫内窘迫、新生儿低血糖、新生儿畸形方面比较,差异无统计学意义(P>0.05),实验组巨大儿出生率低于对照组(P<0.05),母乳喂养比例高于对照组(P<0.05)。干预8周后实验组糖尿病自我管理行为量表-6总分及各个维度得分高于对照组,差异有统计学意义(P<0.001);实验组糖尿病相关问题量表-5总分及各个维度得分低于对照组,差异有统计学意义(P<0.05)。结论应用糖尿病居家护理APP平台,有利于胎儿出生体重的控制,提高母乳喂养比例,改善产妇的自我管理行为和情绪障碍。
Objective To construct the diabetic home care platform and to explore its effects in follow-up management of patients with gestational diabetes mellitus. Methods The diabetic home care platform contained clientsides for both nurses and patients,who could use the platform via identification and binding technology. Totally 200 patients with gestational diabetes mellitus in outpatient department from November 2015 to December 2016 were recruited using convenience sampling. Patients were divided into the experimental group and the control group with 100 cases in each group based on the voluntary principle. Both groups received routine follow-up management,and the experimental group also used diabetic home care platform management. Results There were no differences in gestational weeks,mode of delivery,postpartum hemorrhage,other complications,fetal intrauterine distress,neonatal hypoglycemia,and deformity between two groups（P〉0.05）. Rate of macrosomia in the experimental group was lower than that in the control group（P〈0.05）,and rate of breastfeeding was higher than the control group（P〈0.05）. The total score of Diabetes Self-Care Activeties-6 and scores of each dimension in the experiential group were higher than those in the control group 8 weeks after intervention（P〈0.001）;the total score of Problem Areas in Diabetes Scale and scores of each dimension in the experimental group were lower than those in the control group（P〈0.05）. Conclusion Application of diabetic home care platform is helpful for fetal weight control,and can improve rate of breastfeeding,promote women＇s self-management behavior and emotional disorders.
作者
郭红梅
尹卫
夏青
步红兵
刘巧艳
霍孝蓉
GUO Hongmei;YIN Wei;XIA Qing;BU Hongbing;LIU Qiaoyan;HUO Xiaorong(Department of Endocrinology Affiliated Hospital of Jiangsu Universit)
出处
《中华护理杂志》
CSCD
北大核心
2018年第5期517-522,共6页
Chinese Journal of Nursing
基金
中华护理学会2015-2016年度科研课题立项项目(ZHKY201511)
关键词
居家护理平台
糖尿病
妊娠
病例管理
随访研究
Home Care Platform
Diabetes
Gestational
Case Management
Follow-up Study
