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| Effects of WeChat platform distance education on blood glucose selfmanagement ability and delivery mode of gestational diabetes patients |
| KE Ying XIAO Lang-hua▲ |
| Department of Obstetrics and Gynecology,Ganzhou Maternal and Child Health Care Hospital,Jiangxi Province,Ganzhou 341000,China |
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Abstract Objective To explore the effects of WeChat platform distance education on blood glucose self-management ability and delivery mode in patients with gestational diabetes mellitus.Methods A total of 100 patients with gestational diabetes diagnosed and treated in Ganzhou Maternal and Child Health Care Hospital from January to October 2019 were selected as the research subjects.According to random number table method,they were divided into control group(50 cases)and observation group(50 cases).The control group was given routine health education,and the observation group was given WeChat platform remote dynamic continuing education.The levels of 2 h postprandial blood glucose(2 h PG),fasting blood glucose(FBG),glycosylated hemoglobin(HbA1c),compliance and delivery mode in two groups were compared.Results Before intervention,there was no statistical significance in the levels of 2 h PG,FBG and HbA1c between the two groups at 2 h(P＞0.05).After intervention,2 h PG level in the observation group was(6.52±1.35)mmol/L,FBG was(5.10±1.20)mmol/L,lower than those in the control group(7.81±1.30)mmol/L,(6.05±1.25)mmol/L,and the differences were statistically significant(P＜0.05).The HbA1c level in the observation group was(6.04±0.25)%,lower than that in the control group(6.67±0.65)%,and the difference was statistically significant(P＜0.05).The total compliance of the observation group was 98.00%,higher than that of the control group(84.00%),and the difference was statistically significant(P＜0.05).The vaginal delivery rate of the observation group was 90.00%(45/50)and the cesarean section rate was 10.00%(5/50),while the vaginal delivery rate of the control group was 72.00%(36/50)and the cesarean section rate was 28.00%(14/50),the rate of vaginal delivery was higher in the observation group than in the control group,and the difference was statistically significant(P＜0.05).Conclusion The use of WeChat platform distance education for patients with gestational diabetes can play the role of dynamic continuation education,improve the attention of patients to the condition,strengthen the ability of self-management and compliance of patients with blood glucose,reasonable control of blood glucose level,reduce the rate of cesarean section,and improve the pregnancy outcome of patients.
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