基于“壁虎E护”平台的妊娠期糖尿病患者产后自我管理模式探讨  

Exploration on postpartum self-management model for patients with gestational diabetes based on"Gecko E-Care"platform

作　　者：黄海桃 周桔丰 王少婷 王央玲 罗阳珍 郭洪花[2] HUANG Haitao;ZHOU Jufeng;WANG Shaoting;WANG Yangling;LUO Yangzhen;GUO Honghua(Department of Obstetrics,the First Affiliated Hospital of Hainan Medical University,Haikou,Hainan,570000;Hainan Medical University,Haikou,Hainan,570000)

机构地区：[1]海南医学院第一附属医院产科,海南海口570000 [2]海南医学院,海南海口570000

出　　处：《实用临床医药杂志》2023年第16期131-135,共5页Journal of Clinical Medicine in Practice

基　　金：2021年度海南省卫生健康行业科研项目(21A200075)。

摘　　要：目的探讨基于“壁虎E护”平台构建的自我管理模式对妊娠期糖尿病(GDM)患者产后2型糖尿病(T2DM)发生风险的影响。方法选择GDM产后6~8周糖代谢恢复正常的产妇66例,随机分为2组,对照组予以常规随访管理,观察组采用基于“壁虎E护”平台的自我管理模式。比较2组患者干预后6个月血糖和血脂水平,并通过糖尿病管理自我效能量表(C-DMSES)、生存质量量表和满意度调查评估自我管理模式的影响以及效果。结果观察组干预后空腹血糖、餐后2 h血糖和糖化血红蛋白(HbA1c)低于对照组,空腹C肽高于对照组,差异有统计学意义(P<0.05);2组干预后总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TG)均低于干预前,且观察组TG低于对照组,差异有统计学意义(P<0.05);观察组科学饮食、定期血糖监测、规律运动、遵医嘱用药评分均高于对照组,差异有统计学意义(P<0.05);观察组干预后1、3、6个月的生存质量评分高于对照组,满意度高于对照组,差异有统计学意义(P<0.05)。结论基于“壁虎E护”平台构建GDM患者产后T2DM自我管理模式,可增强患者的自我管理效能,提高生活质量,预防或推迟GDM患者产后T2DM的发生。Objective To explore the effect of the self-management model established on the basis of the"Gecko E-Care"platform for the occurrence risk of postpartum type 2 diabetes mellitus(T2DM)in patients with gestational diabetes mellitus(GDM).Methods A total of 66 postpartum women with normal glucose metabolism recovered after 6 to 8 weeks of GDM were selected and randomly divided into two groups,control group was given routine follow-up management,while observation group was given self-management model based on the"Gecko E-Care"platform.The blood glucose and blood lipid levels after 6 months of intervention were compared between two groups,and the influence and efficiency of self-management model were evaluated by the Diabetes Management Self-Efficacy Scale(C-DMSES),the Scale for Quality of Life and the Satisfaction Survey.Results In the observation group,the fasting blood glucose,2 hours postprandial blood glucose and glycated hemoglobin(HbA1c)were significantly lower than those in the control group,while fasting C-peptide was significantly higher than that in the control group(P<0.05);after intervention,levels of total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C)and triglycerides(TG)in both groups were significantly lower than those before intervention,and the TG in the observation group was significantly lower than that in the control group(P<0.05);in the observation group,the scores of scientific diet,regular blood glucose monitoring,regular exercise and medication according to medical advice were significantly higher than those in the control group(P<0.05);at 1 month,3 and 6 months after intervention,the score of quality of life and satisfaction degree in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Based on the"Gecko E-Guard"platform,the self-management model for postpartum T2DM in patients with GDM can enhance patient′s self-management efficiency,improve quality of life and prevent or delay the occurrence of postpartum T2DM in patients with GDM

关 键 词：“壁虎E护” 妊娠期糖尿病 2型糖尿病 自我管理能力 产后护理 

分 类 号：R714.25[医药卫生—妇产科学] R473.71[医药卫生—临床医学]