Exploring the Relationships between Self-management ability of Gestational Diabetes Mellitus and Neonatal Birth Weight,Apgar score based on the Mediating Effect of Family Support
Objective To explore the relationships between self-management ability of gestational diabetes mellitus(GDM)and neonatal birth weight,Apgar score based on the mediating effect of family support.Methods A total of 92 GDM patients admitted to Xuchang Central Hospital from April 2022 to April 2023 were selected.The self-management ability of GDM patients was evaluated using a self-management ability scale specifically designed for GDM,and family support was evaluated using a diabetes-specific family support questionnaire.The birth weight and 1-minute Apgar score of newborns were followed up and statistically analyzed.The correlation betweenself-management ability and family support,newborn birth weight Apgar score between family support and newborn birth weight,Apgar score were analyzed by Pearson.Themediating effect of family support on the relationship between GDM self-management ability and newborn birth weight,and Apgar score were analyzed by Mplus 8.3 software,and Bootstrap method was used for verification.Results The self-management ability score of the patients was(72.08±13.03),the total family support score was(20.33±4.21),the newborn birth weight was(3 308.10±1 005.31)g,and the Apgar score was(8.23±1.69).The total score of patient self-management ability was positively correlated with the total score of family support and Apgar score,with statistically significant differences(P＜0.05),and negatively correlated with the birth weight of newborns,with statistically significant differences(P＜0.05).The total score of patient family support was negatively correlated with newborn birth weight,with statistically significant differences(P＜0.05),and positively correlated with Apgar score,with statistically significant differences(P＜0.05).Patient self-management ability could affect newborn birth weight and Apgar score,with statistically significant differences(P＜0.05),and patient self-management ability could affect family support,with statistically significant differences(P＜0.05).Family support showed a partial mediating effect between patient self-management ability,newborn birth weight,and Apgar score,with statistically significant differences(P＜0.05).The direct effects of self-management ability on newborn birth weight and Apgar score were 0.65 and 0.68,while the indirect effects of family support on newborn birth weight and Apgar score were 0.24 and 0.22,with a total effect of 0.89 and 0.90.Conclusion The self-management ability of GDM needs to be improved,and the level of family support is low,both of which are related to newborn birth weight and Apgar score.Family support plays a mediating effect between self-management ability and newborn birth weight and Apgar score.
国家科技期刊平台
NSTL
万方数据
维普
