Parsons Judith, Ismail Khalida, Amiel Stephanie, Forbes Angus
1King's College London, London, United Kingdom.
Qual Health Res. 2014 Apr;24(4):575-85. doi: 10.1177/1049732314524636. Epub 2014 Mar 12.
Women with gestational diabetes are at high risk of developing type 2 diabetes, which could be prevented or delayed by lifestyle modification. Lifestyle interventions need to take into account the specific situation of women with gestational diabetes. We aimed to gain a deeper understanding of women's experiences of gestational diabetes, their diabetes risk perceptions, and their views on type 2 diabetes prevention, to inform future lifestyle interventions. We conducted a metasynthesis that included 16 qualitative studies and identified 11 themes. Factors that require consideration when developing a type 2 diabetes prevention intervention in this population include addressing the emotional impact of gestational diabetes; providing women with clear and timely information about future diabetes risk; and offering an intervention that fits with women's multiple roles as caregivers, workers, and patients, and focuses on the health of the whole family.
患有妊娠期糖尿病的女性患2型糖尿病的风险很高,而通过生活方式的改变可以预防或延缓这种情况的发生。生活方式干预需要考虑到患有妊娠期糖尿病女性的具体情况。我们旨在更深入地了解女性在妊娠期糖尿病方面的经历、她们对糖尿病风险的认知以及她们对2型糖尿病预防的看法,以便为未来的生活方式干预提供参考。我们进行了一项综合分析,纳入了16项定性研究,并确定了11个主题。在为该人群制定2型糖尿病预防干预措施时需要考虑的因素包括:应对妊娠期糖尿病的情感影响;为女性提供关于未来糖尿病风险的清晰及时的信息;提供一种适合女性作为照顾者、工作者和患者的多重角色,并关注整个家庭健康的干预措施。