评价产后妇女对妊娠期糖尿病的知识水平及其与妇女社会人口学和临床特征的关系：一项定量横断面研究。

Evaluation of knowledge about gestational diabetes mellitus among postpartum women and its connection with women's sociodemographic and clinical characteristics: a quantitative cross-sectional study.

机构信息

School of Health Professions, Institute of Nursing, Zurich University of Applied Sciences, Katharina-Sulzer-Platz 9, 8401 Winterthur, Switzerland; Department of Obstetrics and Gynecology, University Hospital Zurich, Frauenklinikstrasse 10, 8006 Zurich, Switzerland; Department of Endocrinology and Diabetology, Cantonal Hospital Winterthur, Brauerstrasse 15, 8401 Winterthur, Switzerland.

School of Health Professions, Institute of Nursing, Zurich University of Applied Sciences, Katharina-Sulzer-Platz 9, 8401 Winterthur, Switzerland.

出版信息

Midwifery. 2022 Aug;111:103367. doi: 10.1016/j.midw.2022.103367. Epub 2022 May 11.

DOI:10.1016/j.midw.2022.103367

PMID:35640359

Abstract

OBJECTIVE

to define the knowledge level among postpartum women affected by gestational diabetes and identify its association with women's sociodemographic and clinical characteristics.

DESIGN AND SETTING

a cross-sectional comparative study was conducted. Data collection took place in a single university hospital in the German speaking part of Switzerland.

PARTICIPANTS

a total of 107 postpartum women diagnosed with gestational diabetes in the current pregnancy completed a gestational diabetes mellitus specific knowledge questionnaire (GDMKQ) in German or English in their postpartum period. Further, sociodemographic and clinical characteristics were collected.

RESULTS

Women were between 24 and 45 years old, 56.1% had an academic degree, 60.7% were migrant women coming mainly from other European countries, 17.8% had a previous history of gestational diabetes, and 31.8% had a family history of diabetes. As measured with the GDMKQ, women with a higher educational level obtained higher scores and therefore showed a better knowledge level about gestational diabetes compared to women with primary and secondary educational levels (M 13.3 vs M 11.1 and 12.5; χ (2) = 13.003, p = .002). In addition, women with a previous history of gestational diabetes also reached higher scores compared to women with no history of gestational diabetes (M 13.6 vs M 12.5, Z = - 2.278, p = .023).

CONCLUSION AND IMPLICATION FOR PRACTICE

Even if the knowledge status among women attending this single Swiss hospital is presently very good, a lower educational level was associated with a lower knowledge level and identified as the main factor to hinder women's comprehension of gestational diabetes. More individually tailored consultations by health care professionals may serve to meet women's needs more adequately and support them better in the understanding of their condition.

摘要

目的

确定妊娠糖尿病产后女性的知识水平，并识别其与女性社会人口学和临床特征的关系。

设计和设置

这是一项横断面对比研究。数据收集在瑞士德语区的一家大学附属医院进行。

参与者

共有 107 名在当前妊娠中被诊断为妊娠糖尿病的产后妇女在产后用德语或英语完成了一份妊娠糖尿病特定知识问卷（GDMKQ）。此外，还收集了社会人口学和临床特征。

结果

这些女性的年龄在 24 至 45 岁之间，56.1%拥有大学学历，60.7%是移民，主要来自其他欧洲国家，17.8%有妊娠糖尿病史，31.8%有糖尿病家族史。根据 GDMKQ 的测量，教育程度较高的女性获得了更高的分数，因此与具有小学和中学教育水平的女性相比，她们对妊娠糖尿病的知识水平更高（M 13.3 与 M 11.1 和 12.5；χ²（2）= 13.003，p = 0.002）。此外，有妊娠糖尿病史的女性与没有妊娠糖尿病史的女性相比，得分也更高（M 13.6 与 M 12.5，Z = -2.278，p = 0.023）。