全程目标设定联合微信互动模式对妊娠糖尿病管理的影响

摘要

Objective To investigate the effects of systematic goal-setting combined micro channel interaction model on the management of quality of life and glucose metabolism outcome in patients with gestational diabetes mellitus (GDM) at postpartum 6-12 weeks. Methods A total of 160 patients who had been diagnosed as GDM from January 2011 to June 2014 in Fuzhou General Clinical Teaching Hospital of Fujian Medical University and the Second Affiliated Hospi-tal of Fujian Medical University were investigated in this study. The patients were randomly divided into two groups:control group and observation group, each of them with 80 patients. In terms of the ways for the management, regular traditional diabetes health education intervention were used for the patients in control group, and full systematic goal-setting combined micro channel interaction model intervention was used for the patients in the observation group. The diabetes knowledge awareness, the quality of life and the glucose metabolism outcome at postpartum 6-12 weeks in two groups before and after intervention were respectively analyzed and compared. The follow up period was from the date of diagnosis to postpartum 6-12 weeks. Results The diabetes knowledge awareness difference between the two groups before intervention had no statistical significance (P> 0.05), whereas it exhibited statistical difference after interven-tion: patients in observation group had significantly increased diabetes knowledge awareness than those patients in the control group (P< 0.05); there was no significant differ-ence in the dimensions of DSQL and total scores be-tween the two groups before intervention (P > 0.05), whereas the dimensions of DSQL and total scores in ob-servation group were significantly increase compared with those in the control group after intervention (P< 0.05). Based on the results from oral glucose tolerance test ob-tained from postpartum 6-12 weeks, the ratio of patients with abnormal glucose metabolism turning to with normal glu-cose metabolism was significantly increased while the ratio of patients turning to have impaired glucose regulation func-tion and suffer from overt diabetes were significantly decreased in observation group compared to those in the control group (P< 0.05). Conclusion The full systematic goal-setting combined micro channel interaction model intervention has better application effects on the management of patients with GDM, which can effectively improve the disease awareness and the quality of life so as to achieve the purpose of improving the treatment for this disease.%目的：探讨全程目标设定联合微信互动模式干预在妊娠糖尿病管理中对患者生存质量及产后糖代谢转归的影响效果。方法选取2011年1月~2014年6月就诊福建医科大学福总临床医学院和福建医科大学附属第二医院的160例妊娠糖尿病患者为研究对象，采用随机数字表法分为对照组和观察组，每组80例。对照组采用常规糖尿病健康教育，观察组采用目标设定联合微信互动干预方法。对两组干预前后的糖尿病知识认知程度、生存质量量表及产后6~12周糖代谢转归进行评定。干预时间自确诊妊娠糖尿病时至产后6~12周。结果干预前两组患者糖尿病知识认知程度比较差异无统计学意义(P>0.05)，而干预后观察组的糖尿病知识认知程度明显高于对照组(P<0.05)；干预前两组患者生存质量各维度及总分比较差异无统计学意义(P>0.05)，而干预后观察组的生存质量各维度及总分明显高于对照组(P<0.05)；产后6~12周行口服葡萄糖耐量试验，与对照组比较，观察组转归为正常糖代谢的比例明显增加，而转化为糖调节功能受损及糖尿病的比例明显降低(均P<0.05)。结论全程目标设定联合微信互动模型干预在妊娠糖尿病患者管理中的应用效果好，可有效提升患者对疾病的认知及生存质量，从而达到改善疾病治疗的目的。