Effect of systematic goal-setting combined micro channel interaction model on the management of gestational diabetes mellitus
SHI Qirong1 CHEN Caihong1 LIN Ruyin1 YE Hongjiang2 ZHANG Ling2 LI Xiaqin2 CHEN Chen2 CHEN Pin2▲
1.Department of Gynaecology and Obstetrics, the Second Affiliated Hospital of Fujian Medical University, Fujian Province, Quanzhou 362000, China; 2.Department of Endocrinology, Fuzhou General Clinical Teaching Hospital of Fujian Medical University Fuzhou General Hospital of Nanjing Command, Fujian Province, Fuzhou 350025, China
Abstract：[Abstract] Objective To investigate the effects of systematic goal-setting combined micro channel interaction model on the management of quality of life and glucose metabolism outcome in patients with gestational diabetes mellitus (GDM) at postpartum 6-12 weeks. Methods A total of 160 patients who had been diagnosed as GDM from January 2011 to June 2014 in Fuzhou General Clinical Teaching Hospital of Fujian Medical University and the Second Affiliated Hospital of Fujian Medical University were investigated in this study. The patients were randomly divided into two groups: control group and observation group, each of them with 80 patients. In terms of the ways for the management, regular traditional diabetes health education intervention were used for the patients in control group, and full systematic goal-setting combined micro channel interaction model intervention was used for the patients in the observation group. The diabetes knowledge awareness, the quality of life and the glucose metabolism outcome at postpartum 6-12 weeks in two groups before and after intervention were respectively analyzed and compared. The follow up period was from the date of diagnosis to postpartum 6-12 weeks. Results The diabetes knowledge awareness difference between the two groups before intervention had no statistical significance(P ＞ 0.05), whereas it exhibited statistical difference after intervention： patients in observation group had significantly increased diabetes knowledge awareness than those patients in the control group (P < 0.05); there was no significant difference in the dimensions of DSQL and total scores between the two groups before intervention (P ＞ 0.05), whereas the dimensions of DSQL and total scores in observation group were significantly increase compared with those in the control group after intervention (P < 0.05). Based on the results from oral glucose tolerance test obtained from postpartum 6-12 weeks, the ratio of patients with abnormal glucose metabolism turning to with normal glucose metabolism was significantly increased while the ratio of patients turning to have impaired glucose regulation function and suffer from overt diabetes were significantly decreased in observation group compared to those in the control group (P < 0.05). Conclusion The full systematic goal-setting combined micro channel interaction model intervention has better application effects on the management of patients with GDM, which can effectively improve the disease awareness and the quality of life so as to achieve the purpose of improving the treatment for this disease.
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