摘要
目的探讨经微信平台的个体化健康教育及营养指导对妊娠期糖尿病孕产妇妊娠结局的影响。方法按照健康教育方案不同将200例妊娠期糖尿病孕产妇分为观察组100例和对照组100例,观察组孕产妇接受微信个体化健康教育,对照组孕产妇接受常规健康教育,比较两组孕产妇的干预效果。结果观察组孕产妇孕28周、孕36周时空腹血糖(FPG)、餐后2 h时血糖(2hPBG)、糖化血红蛋白(HbA1c)、体重控制达标率均高于对照组,差异均有统计学意义(均P<0.05);观察组妊娠高血压、剖宫产孕产妇及胎儿宫内受限、巨大儿、羊水异常、新生儿窒息、低体重儿所占比例均低于对照组,差异均有统计学意义(均P<0.05);观察组孕产妇孕期健康营养知识掌握程度评分和对健康营养指导满意度评分均高于对照组,差异均有统计学意义(均P<0.05)。结论在孕期对妊娠糖尿病孕产妇进行微信个体化健康教育有利于提高其健康教育知识掌握程度以及血糖和体重的控制效果,改善母婴预后。
Objective To explore the effects of individual health education and nutrition guidance on Wechat platform on pregnancy outcome of pregnant and lying-in women with gestational diabetes mellitus.Methods According to different health education programs,200 pregnant women with gestational diabetes were divided into observation group(100 cases)and control group(100 cases).The observation group received We Chat individual health education,and the control group received routine health education.The intervention effects of the 2 groups were compared.Results The control rates of fasting blood-glucose(FPG),2 hours postprandial blood glucose(2 h PBG),glycosylated hemoglobin(Hb Alc)and body weight in the observation group at 28-week and 36-week pregnancy were higher than those in the control group,and the differences were statistically significant(P<0.05).In the observation group,the proportions of gestational hypertension,cesarean delivery,fetal intrauterine restriction,macrosomia,abnormal amniotic fluid,neonatal asphyxia and low birth weight was lower than those in the control group,with statistically significant difference(P<0.05).The mastery score of health and nutrition knowledge and the satisfactory score of health nutrition guidance during pregnancy in the observation group were both higher than those in the control group,with statistically significant difference(P<0.05).Conclusion We Chat individual health education in pregnant women with gestational diabetes during pregnancy is beneficial to improve the knowledge of health education,control of blood glucose and body weight,and improve maternal and infant prognosis.
作者
江志发
陈媛
袁雪蓉
黄英
陈平
JIANG Zhi-Fa;CHEN Yuan;YUAN Xue-Rong;HUANG Ying;CHEN Ping(Huizhou Maternal and Child Health Family Planning Service Center,Huizhou 516007,China)
出处
《中国药物经济学》
2019年第4期80-83,共4页
China Journal of Pharmaceutical Economics
基金
惠州市科技局科技计划项目(2016Y044)
关键词
妊娠糖尿病
微信
健康教育
营养指导
母婴预后
Gestational diabetes mellitus
WeChat
Health education
Nutrition guidance
Maternal and infant prognosis
