Ge Li, Wikby Kerstin, Rask Mikael
Nursing College of Fujian University of Traditional Chinese Medicine, Fuzhou, China; Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Int J Gynaecol Obstet. 2016 Aug;134(2):151-5. doi: 10.1016/j.ijgo.2016.01.013. Epub 2016 May 4.
To explore the quality of gestational diabetes mellitus (GDM) care experienced by women in China and how it could be improved.
A qualitative study was conducted at a municipal hospital in south east China. Women who had been diagnosed with GDM at 34-38weeks of pregnancy were enrolled during two periods; between May 1 and July 31, 2012, and between April 1 and July 31, 2013. Data regarding patient-perceived care quality were collected through semi-structured individual interviews and were analyzed by qualitative content analysis.
The study enrolled 44 patients; the interviews recorded a lack of professional care resources for GDM, a lack of high-quality personalized care for women with GDM, and patients' suggestions regarding how to improve GDM care.
The participants reported a lack of high-quality GDM care, describing the core problem as an imbalance between over-stretched hospitals and low-efficiency under-utilized primary healthcare centers. Clinical-practice reforms identified, particularly in primary healthcare settings, included improving services through increasing the number of health professionals and material resources to comply with diabetes guidelines, and incorporating a humanistic approach in the provision of care.
探讨中国女性所体验到的妊娠期糖尿病（GDM）护理质量以及如何加以改善。
在中国东南部一家市级医院开展了一项定性研究。在两个时间段招募了在妊娠34 - 38周时被诊断为GDM的女性；2012年5月1日至7月31日期间以及2013年4月1日至7月31日期间。通过半结构化的个人访谈收集有关患者对护理质量感知的数据，并采用定性内容分析法进行分析。
该研究纳入了44名患者；访谈记录了GDM专业护理资源的匮乏、对GDM女性缺乏高质量的个性化护理，以及患者关于如何改善GDM护理的建议。
参与者报告称缺乏高质量的GDM护理，将核心问题描述为不堪重负的医院与效率低下、利用不足的基层医疗中心之间的失衡。确定的临床实践改革措施，特别是在基层医疗环境中，包括通过增加卫生专业人员数量和物质资源以符合糖尿病指南来改善服务，并在提供护理时纳入人文关怀方法。
