Application Of Peer Support Education Based On Internet Platform In Patients With Gestational Diabetes

PurposeTo analyze the influencing factors of self-management behavior of gestational diabetes patients;and to use peer support education based on Internet platform to intervene in patients with gestational diabetes and evaluate the effect of intervention.MethodThis study is a randomized controlled trial in the same period.Cluster randomization was used to select three grade Iii first-class hospitals in Hengyang City.According to the inclusion and exclusion criteria,80 pregnant women diagnosed with gestational diabetes from March to May 2019 were selected as the study subjects.Using the random number table method divided the patients into control group and intervention group,40 cases of control group routine health education,intervention group peer support education intervention based on Internet,and before intervention and intervention for 8 weeks respectively after comparing two groups of patients with self-management behavior anxiety self-assessment score overall well-being and quality of life index to control the situation,and the pregnancy outcomes of postpartum 42 days perinatal and blood sugar of the comparison.SPSS 21.0 was used for database construction and statistical analysis.Measurement data and counting data are described by mean plus or minus standard deviation and composition ratiorespectively.Chi-square test was used for counting data,and independent sample T test was used for measurement data of normal distribution.Multiple linear regression was used to analyze the influencing factors of self-management behavior.With α=0.05 as the test standard,P < 0.05 was statistically significant.Results(1)Through multiple linear regression analysis,the main influencing factors of self-management behavior of gestational diabetes patients are education level,monthly family income,family history of diabetes and whether they have received GDM-related(Gestational Diabetes Mellitus,GDM)education.(2)Before the intervention,there was no statistically significant difference in the general information,self-management behavior,self-assessment of anxiety,quality of life,overall well-being,and GDM blood glucose control indexes of the two groups of patients(P> 0.05).(3)After the intervention,the natural childbirth rate of the intervention group was higher than that of the control group(P <0.05);the incidence of premature rupture of membranes,puerperal infection,giant perinatal infants,and adverse events of neonatal transfer were lower in the intervention group Control group(P <0.05).(4)After the intervention,the self-management behavior score of GDM patients in the intervention group in self-management attitude score[(4.23 ± 0.73)points],self-management ability score [(3.65 ± 0.74)points],diet compliance score [(2.85 ± 0.53)Points],sports exercise scores [(3.45 ± 0.68)points] are higher than the control group(P <0.05);the intervention group self-assessment score [(36.95 ± 3.82)points] is lower than the control group and pre-intervention score(P <0.05).(5)After the intervention,the total quality of life scores and scoresof all dimensions of the GDM patients in the intervention group were higher than those of the control group(P <0.05);the intervention group excluded energy and satisfaction and interest in the two dimensions of overall happiness There is no difference between the scores of the control group and the control group(P> 0.05),the other dimensions and total scores are statistically significant compared with the control group(P<0.05).(6)After the intervention,the blood glucose control level of the intervention group was better than that of the control group during the last prenatal period,the difference was statistically significant(P <0.05);there was no statistical difference in the blood glucose comparison at 42 days postpartum(P> 0.05).Conclusions(1)The main influencing factors of self-management behaviors of gestational diabetes patients are education level,monthly household income,family history of diabetes and whether they have received GDM related education.(2)Peer support education on the Internet platform can improve the self-management ability of gestational diabetes patients,reduce the occurrence of childbirth-related adverse events,help reduce pregnant women’s anxiety,improve their quality of life and overall happiness,and improve blood sugar control.