个性化短信对妊娠期糖尿病患者自我管理的影响[j]

Lauren Lester, A. Boerrigter, J. Gavard, D. Mostello, J. Sakach
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引用次数: 0

摘要

前言:目的是确定提供个性化的关于糖尿病管理的短信是否改善了护理依从性和妊娠结局。方法:本研究获得了机构审查委员会的批准。2型(T2)和妊娠期糖尿病(GDM)孕妇随机分为两组。“接触控制”组参加了Text4baby项目,该项目在怀孕期间提供非个性化的教育短信。干预组(Text4diabetes)收到了关于即将到来的预约、当前胰岛素治疗方案的个性化短信,并鼓励他们保存和提交血糖记录以供审查。主要结果是依从性(数据尚未分析)。该分析评估新生儿结局,包括围产期损失(>24周)、分娩胎龄(GA)、动脉脐带pH值小于7.1、5分钟Apgar小于7、胎龄大(LGA)状态、是否需要补充葡萄糖、插管和表面活性剂给药。结果:144名T2或GDM女性被随机分组。两组患T2型糖尿病的女性人数相似(33%和31%),妊娠前有GDM史(21%和19%)。text4糖尿病组分娩少于35周,LGA婴儿较少,表面活性剂使用较少。综合新生儿不良结局,包括LGA状态,分娩小于35周GA,动脉索pH小于7.1,以及需要表面活性剂给药,显示text4糖尿病组的不良结局较少。然而,没有发现具有统计学意义。结论:旨在提高妊娠期糖尿病护理依从性的短信对新生儿结局没有显著影响。需要与依从性结果的相关性来观察依从性改善是否能改善新生儿结局。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neonatal Outcomes Associated With Personalized Text Messages for Diabetes Self-Management in Pregnancy [ID: 1373396]
INTRODUCTION: The objective was to determine whether providing individualized text messages regarding diabetes management improved compliance with care and pregnancy outcomes. METHODS: Institutional review board committee approval was obtained for the study. Pregnant women with type 2 (T2) and gestational diabetes (GDM) were randomized into two groups. The “contact-control” group was enrolled in the Text4baby program, which provides nonpersonalized educational text messages throughout pregnancy. The intervention group (Text4diabetes) received individualized text messages regarding upcoming appointments, current insulin regimen, and encouragement to keep and submit glucose logs for review. The primary outcome is compliance (data not yet analyzed). This analysis assesses neonatal outcomes, including perinatal loss (>24 weeks), delivery gestational age (GA), arterial cord pH less than 7.1, 5-minute Apgar less than 7, large-for-gestational-age (LGA) status, need for glucose supplementation, intubation, and surfactant administration. RESULTS: One hundred forty-four women with T2 or GDM were randomized. Both groups had similar numbers of women with T2 diabetes (33% and 31%) and history of GDM in prior pregnancy (21% and 19%). The Text4diabetes group had fewer deliveries less than 35 weeks, fewer LGA infants, and fewer surfactant administrations. A composite of adverse neonatal outcomes, including LGA status, delivery less than 35 weeks GA, arterial cord pH less than 7.1, and need for surfactant administration, showed fewer adverse outcomes in the Text4diabetes group. No findings, however, reached statistical significance. CONCLUSION: Text messages aimed at improving compliance with diabetes care in pregnancy did not significantly affect neonatal outcomes. Correlation with compliance results is needed to see whether improved compliance improved neonatal outcomes.
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