新媒体在妊娠期糖尿病产妇产后随访中的应用效果研究  

Effect of new media among pregnant women with gestational diabetes mellitus in a general hospital

作　　者：刘军[1] 路简羽 包艾荣 冯嘉蕾[1] 林秀峰[1] Liu Jun;Lu Jianyu;Bao Airong;Feng Jialei;Lin Xiufeng(Department of Obstetrics and Gynaecology,Peking University First Hospital,Peking 100034,China)

机构地区：[1]北京大学第一医院妇产科,100034

出　　处：《中国实用护理杂志》2020年第3期185-190,共6页Chinese Journal of Practical Nursing

摘　　要：目的探讨新媒体在妊娠期糖尿病产妇产后随访中的应用效果,为后续产后随访工作提供参考。方法选取2017年5—6月在北京大学第一医院产科的妊娠期糖尿病产妇,运用Excel生成随机数字表分为对照组50例和试验组46例,对照组运用产后常规健康教育,包括:告知2组产妇体质量管理饮食和运动方案、发放宣传手册、进行电话督促体质量控制;试验组在此基础上增加群微信推送提醒和答疑、"317护"出院后推送宣传资料。比较2组产妇在产后42 d口服葡萄糖耐量试验(OGTT)和血脂检查结果以及体质量指数(BMI)。结果试验组在产后42 d时BMI、空腹血糖、三酰甘油、总胆固醇、高密度脂蛋白、低密度脂蛋白分别为(22.13±2.91)kg/m^2、(5.06±0.39)mmol/L、(0.89±0.27)mmol/L、(5.61±0.68)mmol/L、(1.52±0.27)mmol/L、(3.16±0.71)mmol/L,对照组分别为(23.66±4.21)kg/m^2、(5.30±0.47)mmol/L、(1.03±0.36)mmol/L、(5.64±0.66)mmol/L、(1.63±0.30)mmol/L、(3.23±0.62)mmol/L,2组比较差异有统计学意义(t值为-3.604~2.059,P<0.05或0.01)。结论新媒体用于妊娠期糖尿病产妇产后随访能够有效帮助其改善BMI、血脂等指标,同时也有利于其血糖控制效果。Objective To evaluate the effect of new media among women with gestational diabetes mellitus(GDM)during postpartum period.Methods The gestational diabetes maternal in the obstetrics department of Peking University First Hospital from May to June,2017 was selected.We used excel generated random number table to divide the groups,there were 50 cases in the control group and 46 cases in the study group.The control group used routine postpartum routine health education,including informing 2 groups of maternal weight management diet and exercise plans,giving leaflets,and conducting telephone to supervise the quality control;based on these situations,the study group added group WeChat push reminders and Q&A,and"317 Protector"to push the heath education materials after discharge.Then we did comparison of oral glucose tolerance test(OGTT),lipid test results and body mass index(BMI)of the two groups on the 42nd day postpartum.Results The recovery and control of the study group women were better than those of the control group.In the study group,BMI,fasting blood glucose,triglyceride,total cholesterol,high-density lipoprotein,and low-density lipoprotein were(22.13±2.91)kg/m^2,(5.06±0.39)mmol/L,(0.89±0.27)mmol/L,(5.61±0.68)mmol/L,(1.52±0.27)mmol/L,(3.16±0.71)mmol/L after 42 days of birth.While in the control group,these were(23.66±4.21)kg/m^2,(5.30±0.47)mmol/L,(1.03±0.36)mmol/L,(5.64±0.66)mmol/L,(1.63±0.30)mmol/L,(3.23±0.62)mmol/L.The difference between the two groups was statistically significant(t value was-3.604-2.059,P<0.05 or 0.01).Conclusion New media for postpartum follow-up of gestational diabetes can effectively help improve BMI,blood lipids and other indicators,and can also help blood sugar control effect.

关 键 词：妊娠期糖尿病 产后随访 微信群 "317护" 

分 类 号：R473[医药卫生—护理学] R714[医药卫生—临床医学]