傅玉参

[摘要] 目的 探讨饮食日记联合微信随访对妊娠期糖尿病患者血糖的影响。 方法 将该院2018年3月—2019年3月间收治的106例妊娠期糖尿病患者作为研究对象，随机分为研究组（n=53）以及对照组（n=53）。对照组采取常规护理，研究组在此基础上采取饮食日记联合微信随访，比较两组患者血糖控制以及自我管理能力情况。 结果 干预前，两组患者2 hPBG、FPG、HbA1c水平比较差异无统计学意义（P>0.05）;经过干预，研究组2 hPBG、FPG、HbA1c水平均要低于对照组（P<0.05）。干预前，研究组自我管理能力评分与对照组比较差异无统计学意义（P>0.05）;经过干预，研究组自我管理能力评分要高于对照组（P<0.05）。 结论 在妊娠期糖尿病患者治疗期间通过应用饮食日记联合微信随访能够起到辅助治疗作用，进一步控制患者血糖水平。

[关键词] 饮食日记;微信随访;妊娠期糖尿病;血糖;糖化血红蛋白

[中图分类号] R473          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0001-03

Effect of Diet Diary and WeChat Follow-up on Blood Glucose in Patients with Gestational Diabetes

FU Yu-shen

Department of Obstetrics and Gynecology （Gynecological Ward）， Zhangzhou Hospital of Traditional Chinese Medicine， Zhangzhou， Fujian Province， 363000 China

[Abstract] Objective To investigate the effect of diet diary combined with WeChat follow-up on blood glucose in patients with gestational diabetes. Methods A total of 106 patients with gestational diabetes who were treated in the hospital from March 2018 to March 2019 were taken as the research objects and randomly divided into a study group （n=53） and a control group（n=53）. The control group was given routine nursing care， and the research group was followed by dietary diary and WeChat follow-up to compare the blood glucose control and self-management ability of the two groups. Results Before the intervention， the levels of 2 hPBG， FPG， and HbA1c were not statistically significant different between the two groups of patients （P>0.05）. After intervention， the levels of 2 hPBG， FPG， and HbA1c in the study group were lower than those in the control group （P<0.05）. Before the intervention， the score of the self-management ability of the study group was not statistically significant different from that of the control group （P>0.05）; after the intervention， the score of the self-management ability of the study group was higher than that of the control group （P<0.05）. Conclusion During the treatment of gestational diabetic patients， dietary diary combined with WeChat follow-up can play an adjuvant treatment and further control the blood glucose level of patients.

[Key words] Diet diary; WeChat follow-up; Gestational diabetes; Blood glucose; Glycated hemoglobin

妊娠期糖尿病是婦女妊娠期常见并发症，属于糖尿病特殊类型。妊娠期糖尿病患者产后每5～10年间，存在30%～50%的群体发展为2型糖尿病[1]。在妊娠期糖尿病患者治疗过程中，需要对其生活方式、饮食习惯、运动行为等进行干预，有利于改善其血糖水平，并减少病理性妊娠期结局。然而部分妊娠期患者自我管理能力不足，无法按照医嘱坚持执行康复计划，思想及行为较为散漫，可能会造成病情反复，会对母婴健康产生较大影响。因此，在妊娠期糖尿病患者治疗期间需采取一定措施对患者进行干预，引导其养成良好的行为习惯，让其能够按照医嘱执行康复计划，使病情得到有效控制。该院对2018年3月—2019年3月间收治的53例妊娠期糖尿病患者采取了饮食日记联合微信随访，获得了较好的效果，报道如下。

1  资料与方法

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