Marchetti Daniela, Carrozzino Danilo, Fraticelli Federica, Fulcheri Mario, Vitacolonna Ester
Department of Psychological Health and Territorial Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy.
Department of Psychological Health and Territorial Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy; Psychiatric Research Unit, Psychiatric Centre North Zealand, Copenhagen University Hospital, Hillerød, Denmark.
J Diabetes Res. 2017;2017:7058082. doi: 10.1155/2017/7058082. Epub 2017 Feb 23.
. Diagnosis of Gestational Diabetes Mellitus (GDM) could significantly increase the likelihood of health problems concerning both potential risks for the mother, fetus, and child's development and negative effects on maternal mental health above all in terms of a diminished Quality of Life (QoL). The current systematic review study is aimed at further contributing to an advancement of knowledge about the clinical link between GDM and QoL. . According to PRISMA guidelines, PubMed, Web of Science, Scopus, and Cochrane databases were searched for studies aimed at evaluating and/or improving levels of QoL in women diagnosed with GDM. . Fifteen research studies were identified and qualitatively analyzed by summarizing results according to the following two topics: GDM and QoL and interventions on QoL in patients with GDM. Studies showed that, in women with GDM, QoL is significantly worse in both the short term and long term. However, improvements on QoL can be achieved through different intervention programs by enhancing positive diabetes-related self-management behaviors. . Future studies are strongly recommended to further examine the impact of integrative programs, including telemedicine and educational interventions, on QoL of GDM patients by promoting their illness acceptance and healthy lifestyle behaviors.
妊娠期糖尿病（GDM）的诊断可能会显著增加健康问题的可能性，这些问题涉及母亲、胎儿和儿童发育的潜在风险，以及对母亲心理健康的负面影响，尤其是在生活质量（QoL）下降方面。当前的系统评价研究旨在进一步推动对GDM与QoL之间临床联系的认识。根据PRISMA指南，在PubMed、科学网、Scopus和Cochrane数据库中检索旨在评估和/或改善被诊断为GDM的女性QoL水平的研究。确定了15项研究，并根据以下两个主题总结结果进行定性分析：GDM与QoL以及GDM患者QoL的干预措施。研究表明，在患有GDM的女性中，短期和长期的QoL都明显更差。然而，通过增强与糖尿病相关的积极自我管理行为，不同的干预项目可以改善QoL。强烈建议未来的研究通过促进GDM患者对疾病的接受和健康的生活方式行为，进一步研究包括远程医疗和教育干预在内的综合项目对GDM患者QoL的影响。
