互联网联合群组化保健干预对GDM孕妇血糖控制和分娩结局的影响  

Effects of the internet combined with the group health care for pregnant women with gestational diabetes mellitus on their blood glucose control and delivery outcomes

作　　者：虞文杰 沈叶琴 吴朝勇 YU Wenjie;SHEN Yeqin;WU Zhaoyong(Keqiao Maternal and Child Health Care,Shaozing,Zhejiang Province,312000)

机构地区：[1]浙江省绍兴市柯桥区妇幼保健院,312000

出　　处：《中国计划生育学杂志》2025年第1期140-144,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨互联网联合群组化保健对妊娠期糖尿病(GDM)孕妇血糖控制和分娩结局的影响。方法:纳入2022年1-12月本院收治的GDM患者181例,按照随机数字表法分为对照组90例、观察组91例,对照组给予常规保健,观察组在上述基础给予互联网+群组化保健,比较两组干预后血糖水平、自我管理能力、自我保健能力,记录分娩结局。结果:干预后两组空腹血糖及餐后2h血糖均下降,且观察组(4.48±0.27mmol/L、5.85±0.57mmol/L)低于对照组(5.36±0.32mmol/L、6.47±0.62mmol/L),两组自我管理能力问卷各维度评分及糖尿病自我效能量表评分均升高且观察组(158.14±17.85分)高于对照组(152.45±16.58分),自然分娩率(79.1%)高于对照组(64.4%),会阴损伤率(24.2%)低于对照组(38.9%)(均P<0.05);新生儿1minApgar评分观察组(9.20±0.27分)与对照组(9.12±0.32分)无差异(P>0.05)。结论:互联网+群组化保健可有效控制GDM患者血糖,提高孕妇自我管理能力及自我保健能力,改善分娩结局。Objective:To discuss the effects of the internet combined with the group health care for pregnant women with gestational diabetes mellitus(GDM)on their blood glucose control and delivery outcomes.Methods:181 pregnant women with GDM who had been admitted to the hospital were selected and were divided into two groups by random number table method from January to December 2022.90 women in the control group were given the routine health care,while 91 women in the observation group were given both the internet combined with the group health care and the routine health care.The blood glucose level,the self-management ability and the self-care ability of the women were compared between the two groups.The delivery outcomes of the women in the two groups were recorded.Results:After the intervention,the levels of the fasting blood glucose and the 2h postprandial blood glucose of the women in the two groups had decreased significantly,and which(4.48±0.27 mmol/L and 5.85±0.57 mmol/L)of the women in the observation group were significantly lower than those(5.36±0.32 mmol/L and 6.47±0.62 mmol/L)of the women in the control group.The score of the self-management ability of the women in the two groups had increased significantly,and which(158.14±17.85 points)of the women in the observation group was significantly higher than that(152.45±16.58 points)of the women in the control group.The diabetes self-efficacy scale score of the women in the two groups had increased significantly,and which of the women in the observation group was significantly higher than that of the women in the control group.The natural delivery rate(79.1%)of the women in the observation group was significantly higher than that(64.4%)of the women in the control group.The perineal injury rate(24.2%)of the women in the observation group was significantly lower than that(38.9%)of the women in the control group(al P<0.05).There was no significant difference in the neonatal Apgar score at 1 min after birth(9.20±0.27 points vs.9.12±0.32 points)between the two

关 键 词：妊娠期糖尿病 互联网 群组化保健 血糖水平 分娩结局 

分 类 号：R71[医药卫生—妇产科学]