Sayakhot Padaphet, Carolan-Olah Mary
St Albans Campus, College of Health and Biomedicine, Victoria University, Building 4C, McKechnie Street, St Albans, VIC, 3021, Australia.
BMC Pregnancy Childbirth. 2016 Sep 29;16(1):287. doi: 10.1186/s12884-016-1067-9.
This study aimed to investigate the percentage of the needs and expectations of pregnant women with Gestational Diabetes Mellitus (GDM) about the best sources of information on GDM, their satisfaction with the diagnostic process and information provision.
Questionnaires were completed by 116 pregnant women aged 18-45 years, diagnosed with GDM and recruited from maternity diabetes clinic. Eligible women were invited to participate in the study and informed consent was obtained from each participant prior to enrolment. Descriptive statistics, Kruskal-Wallis test, t-test and chi-square test were used to analyse data.
Most women (64.2 %) expected general practitioners (GPs) to be the best source of GDM information, following by diabetes educator nurses (45.9 %), diabetes support groups (33.9 %) and internet (32.1 %). However, women found that diabetes educator nurses were more helpful than GPs (32.6 and 20.2 %, respectively). Participants' age and country of birth were statistically significant. For women aged over 30 years and women born overseas the internet was the most useful information source (68.9 and 77.1 % respectively). Overall, women were very satisfied (33.0 %) or satisfied (45.0 %) with how they were informed of the GDM diagnosis, although 26.0 % were informed by telephone and 16.0 % by text message. More than one-third (39.0 %) of women were not referred to sources of information by GPs at time of diagnosis of GDM (p <0.0001). Women who were referred reported that they were very satisfied (40.0 %) or satisfied (44.0 %) with information they received. Only 8.0 % of women reported dissatisfaction with the manner of health professionals.
The results suggest that health professionals should be aware of the needs and expectations of women who have been diagnosed with GDM, with most women expecting to receive information on GDM from their GPs and diabetes educator nurses. The findings suggest that there is scope for improving how women are informed of the GDM diagnosis and given information, and in clinicians' manner.
本研究旨在调查妊娠期糖尿病（GDM）孕妇对于GDM最佳信息来源的需求和期望比例，以及她们对诊断过程和信息提供的满意度。
116名年龄在18至45岁之间、被诊断为GDM的孕妇完成了问卷调查，这些孕妇是从产科糖尿病诊所招募的。符合条件的女性被邀请参与研究，并在入组前获得了每位参与者的知情同意。使用描述性统计、Kruskal-Wallis检验、t检验和卡方检验来分析数据。
大多数女性（64.2%）期望全科医生（GPs）是GDM信息的最佳来源，其次是糖尿病教育护士（45.9%）、糖尿病支持小组（33.9%）和互联网（32.1%）。然而，女性发现糖尿病教育护士比全科医生更有帮助（分别为32.6%和20.2%）。参与者的年龄和出生国家具有统计学意义。对于30岁以上的女性和海外出生的女性，互联网是最有用的信息来源（分别为68.9%和77.1%）。总体而言，女性对她们得知GDM诊断的方式非常满意（33.0%）或满意（45.0%），尽管26.0%是通过电话得知，16.0%是通过短信得知。超过三分之一（39.0%）的女性在GDM诊断时未被全科医生转介到信息来源（p<0.0001）。被转介的女性报告说她们对收到的信息非常满意（40.0%）或满意（44.0%）。只有8.0%的女性报告对医护人员的方式不满意。
结果表明，医护人员应该了解被诊断为GDM的女性的需求和期望，大多数女性期望从她们的全科医生和糖尿病教育护士那里获得GDM信息。研究结果表明，在告知女性GDM诊断和提供信息的方式以及临床医生的态度方面有改进的空间。
