School of Health Sciences, Wuhan University, No.115, Dong Hu Road, Wuhan, 430071, Hubei, China.
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, 30322, USA.
Rev Endocr Metab Disord. 2021 Dec;22(4):777-787. doi: 10.1007/s11154-020-09610-4. Epub 2020 Nov 12.
Gestational diabetes mellitus (GDM) can have serious adverse effects on pregnant women and their fetuses. The purpose of this systematic review is to explore responses from women diagnosed with GDM and to describe their real-life experiences with self-management during pregnancy. The review provides insight into the physical, psychological, and social experiences of women with GDM; exploring these factors can help identify the challenges of glucose control and may provide targeted care and interventions to improve maternal and child health. Twelve databases were included in the initial article search, which was conducted on February 27, 2019. Two independent reviewers used the JBI Critical Appraisal Checklist for Qualitative Research for methodological validity to assess articles for study inclusion. The final synthesized findings were graded according to the ConQual approach for establishing confidence. Ten studies (totaling 223 pregnant women with GDM), originating from 6 different countries, were included in the review. Of the 223 women, 171 had one pregnancy affected by GDM and 52 had two or more pregnancies affected by GDM. Based on the findings from these studies, three main themes emerged, which were synthesized from 10 separate categories and 46 individual findings: beliefs about illness and health; life-changing experiences and healthy expectations; and difficulties and needs. Both positive and negative experiences of pregnant women with GDM can be understood as a process of "continuous struggle and change". Understanding the experiences of women diagnosed with GDM can provide health care professionals with more knowledge of how women experience GDM and develop feasible interventions to reduce the risk of developing type II diabetes.PROSPERO registration number CRD42019132065.
妊娠期糖尿病（GDM）可对孕妇及其胎儿产生严重不良影响。本系统综述的目的是探讨诊断为 GDM 的女性的反应，并描述她们在怀孕期间自我管理的真实体验。该综述深入了解了 GDM 女性的身体、心理和社会体验；探讨这些因素有助于确定血糖控制的挑战，并可能提供有针对性的护理和干预措施，以改善母婴健康。最初的文章搜索于 2019 年 2 月 27 日在 12 个数据库中进行。两名独立的审查员使用 JBI 定性研究批判性评价清单对文章进行方法学有效性评估，以确定是否纳入研究。最终综合发现根据 ConQual 方法进行分级，以建立信心。该综述纳入了 10 项研究（共 223 名患有 GDM 的孕妇），这些研究来自 6 个不同的国家。在 223 名女性中，171 名女性仅有一次妊娠受到 GDM 影响，52 名女性有两次或更多次妊娠受到 GDM 影响。基于这些研究的结果，出现了三个主要主题，这三个主题是从 10 个单独的类别和 46 个单独的发现中综合出来的：对疾病和健康的信念；改变生活的经历和健康的期望；以及困难和需求。患有 GDM 的孕妇的积极和消极体验都可以理解为一个“持续斗争和变化”的过程。了解诊断为 GDM 的女性的经历可以使医疗保健专业人员更好地了解女性如何体验 GDM，并制定可行的干预措施来降低患 2 型糖尿病的风险。PROSPERO 注册号 CRD42019132065。
