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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

    摘要
  • 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。

     

    Abstract:
    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.

     

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