基于互联网平台的同伴支持教育对妊娠期糖尿病合并生殖道感染病人妊娠结局的影响

    Effect of peer support education based on Internet platform on pregnancy outcome of patients with gestational diabetes mellitus and reproductive tract infection

    • 摘要:
      目的分析妊娠期糖尿病(gestational diabetes mellitus,GDM)合并生殖道感染(reproductive tract infection,RTI)护理管理中基于互联网平台的同伴支持教育对妊娠结局的影响。
      方法选择96例GDM合并RTI病人,根据抽签法分组,每组48例。对照组接受常规健康教育,观察组在对照组的基础上接受基于互联网平台的同伴支持教育,比较2组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、血糖指标、妊娠结局、病人满意度情况。
      结果护理干预后,观察组HAMA评分、HAMD评分、空腹血糖、糖化血红蛋白、餐后2 h血糖水平均明显低于对照组(P < 0.01),观察组不良妊娠结局总发生率2.08%, 低于对照组的8.33%(P < 0.05),观察组病人满意度95.83%,明显高于对照组的72.92%(P < 0.01)。
      结论基于互联网平台的同伴支持教育可有效减轻GDM合并RTI病人不良情绪,改善血糖水平及妊娠结局,提高病人满意度。

       

      Abstract:
      ObjectiveTo analyze the effect of Internet platform-based peer support education on pregnancy outcome in nursing management of gestational diabetes mellitus (GDM) complicated with reproductive tract infection (RTI).
      MethodsA total of 96 patients with GDM and RTI were divided into two groups according to the method of drawing lots, with 48 patients in each group.The control group received routine health education, and the observation group received peer support education based on Internet platform on the basis of the control group.Hamilton anxiety scale (HAMA) score, Hamilton depression scale (HAMD) score, blood glucose indicators, pregnancy outcomes, and patient satisfaction were compared between the two groups.
      ResultsAfter nursing intervention, the HAMA score, HAMD score, fasting blood glucose, glycated hemoglobin, and 2 h postprandial blood glucose in the observation group were all lower than those in the control group (P < 0.01).The total incidence of adverse pregnancy outcomes of the observation group was lower than that of the control group(2.08% vs 8.33%)(P < 0.05), and the patient satisfaction in the observation group was higher than that in the control group (95.83% vs 72.92%)(P < 0.01).
      ConclusionsPeer support education based on Internet platform can effectively reduce the bad mood of patients with GDM and RTI, improve blood glucose level and pregnancy outcome, and improve patient satisfaction.

       

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