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| Effect of extended intervention based on medical data system combined with WeChat diet management for treating women with gestational diabetes mellitus |
| Northwest Women's and Children's Hospital, Xi'an, Shanxi Province, 710061 |
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Abstract To analyze the effect of extended intervention based on medical data system combined with WeChat diet management for treating pregnant women with gestational diabetes mellitus (GDM). Methods: Taking the implementation time of extended intervention based on medical data system (December 2020) as the dividing point, 63 women with GDM who had been enrolled from October 2019 to November 2020 were included in the control group and were given routine health education and continuous intervention, and 62 women with GDM who had been enrolled between December 2020 and October 2021 were included in the observation group and were given extended intervention based on medical data system combined with WeChat group diet punch-in nursing on the basis of the control group. The medical compliance behaviors during intervention, the disease cognition, the self-care ability evaluated by Diabetes Self-Management Questionnaire (DSMQ), and blood glucose control situation of the women were compared between the two groups. The delivery model of the women in the two groups was statistically analyzed. Results: The compliance rate of blood glucose detection on time (87.1%) of the women in the observation group was significantly higher than that (71.4%) of the women in the control group (P＜0.05). There was no statistical significant difference in the compliance rate of revisit on time (90.3% vs. 79.4%) of the women between the two groups (P＞0.05). The scores of DKT, and the DSMQ, such as blood glucose control, diet control, physical exercise, and health care application, of the women in the two groups after intervention had increased significantly, and which of the women in the observation group were significantly higher than those of the women in the control group. The levels of fasting blood glucose, 2h postprandial blood glucose, and glycosylated hemoglobin of the women in the two groups after intervention had decreased significantly, and which of the women in the observation group were significantly lower than those of the women in the control group (all P＜0.05). There was no statistical significance difference in the level of glycosylated hemoglobin of the women between the two groups (P＞0.05). There were no statistical significance differences in the rates of vaginal delivery (69.4% vs.58.7%) and cesarean section (30.7% vs.41.3%) of the women between the two groups (P＞0.05). Conclusion: Extended intervention based on medical data system combined with WeChat group diet punch-in intervention for treating the pregnant women with GDM can effectively regulate their medical compliance behaviors, enhance their self-care ability, and thus improve their blood glucose control situation.
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