The University of Queensland, Level 3, Chamberlain (Building 35), St Lucia 4072, Australia.
The University of Queensland, Brisbane, Australia.
Diabetes Res Clin Pract. 2019 Feb;148:32-42. doi: 10.1016/j.diabres.2018.12.005. Epub 2018 Dec 21.
Postnatal screening rates to detect type two diabetes following gestational diabetes are low. The quality of communication is an important element to consider in developing targeted strategies that support women in completing recommended follow-up care.
To explore the communication perspectives, practices and preferences of women, hospital clinicians and general practitioners, to determine strategies that may promote completion of recommended postnatal GDM follow-up, in Queensland Australia.
We used an exploratory, three-phase, mixed-methods approach, interpreted through intergroup communication theory. Phase one: convergent interviews explored perspectives of the communication experience in GDM care among new mothers (n = 13), hospital clinicians (n = 13) and general practitioners (n = 16). Phase two: a retrospective chart audit assessed current practice in postnatal discharge summaries of women (n = 86). Phase three: an online survey identified the preferences of general practitioners and hospital clinicians who provide maternity care in Queensland. Triangulation of the findings from the interviews, audit and surveys was used to clarify results and increase the robustness of the findings.
Three themes: Seeking information, Written hospital discharge summary (discharge summary) and Clarity of follow-up requirements, provide direction for pragmatic strategies to promote follow-up. Practical recommendations include continued discussion about care with women from the point of GDM diagnosis into the postnatal period; discharge summaries that give primacy to diagnosis and ongoing treatment; and provision of explicit directions for recommended testing and timing.
This research informs seven practical recommendations to help promote completion of recommended postnatal GDM follow-up.
针对妊娠糖尿病（GDM）后发生的 2 型糖尿病，产后筛查率较低。沟通质量是制定有针对性策略的重要考虑因素，这些策略可支持女性完成推荐的随访护理。
探索女性、医院临床医生和全科医生对沟通的看法、实践和偏好，以确定可能促进完成澳大利亚昆士兰州推荐的 GDM 产后随访的策略。
我们使用了一种探索性的、三阶段、混合方法方法，并通过群体间沟通理论进行了解释。第一阶段：集中访谈探讨了新妈妈（n=13）、医院临床医生（n=13）和全科医生（n=16）在 GDM 护理中的沟通体验。第二阶段：回顾性图表审核评估了 86 名女性产后出院小结中的当前实践。第三阶段：在线调查确定了在昆士兰州提供产科护理的全科医生和医院临床医生的偏好。对访谈、审核和调查结果进行三角剖分，以澄清结果并提高研究结果的稳健性。
三个主题：寻求信息、书面医院出院小结（出院小结）和随访要求的清晰度，为促进随访的实用策略提供了方向。实用建议包括继续与 GDM 诊断后到产后期间的女性讨论护理问题；出院小结应优先考虑诊断和持续治疗；并明确提供推荐检测和时间安排。
这项研究提出了七条实用建议，有助于促进完成推荐的产后 GDM 随访。
