Effect of comprehensive intervention based on WeChat group on family self-management of pregnant diabetics

ObjectiveTo explore the effect of comprehensive intervention measures based on WeChat group on family self-management for gestational diabetes mellitus.

MethodsWith 57 cases of gestational diabetes selected in January-April 2017 at the outpatient clinic of Pudong New Area Women and Children′s Health Hospital in Shanghai, comprehensive interventions based on sports therapy through WeChat group were carried out, the self-management of pregnant diabetics gave guidance for 3 months, and observation was done of the items as the daily exercise time of patients, weight gain and changes in blood sugar in the late stages of pregnancy.

ResultsAfter intervention, the patients of average daily self-exercise time >90 min increased by 64.91%, while those < 60 min decreased by 50.88%;After intervention, the patient′s weight gain rate in middle and late pregnancy increased significantly (31.58 % vs 85.96 %, P < 0.05);postprandial 2 h blood sugar decreased significantly after intervention (5.62 mmol/L vs 4.59 mmol/L, P < 0.05;7.89 mmol/L vs 6.02 mmol/L, P < 0.05).

ConclusionThrough the comprehensive intervention of WeChat group, we can improve the compliance and self-management effect on pregnancy exercise for patients with diabetes so as to effectively control blood sugar and weight gain in the late stages of pregnancy.