Department of Community Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Medical - Surgical Nursing Department, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Glob Health Action. 2022 Dec 31;15(1):2087298. doi: 10.1080/16549716.2022.2087298.
Gestational diabetes mellitus (GDM) is a temporary form of diabetes induced by pregnancy and is potentially harmful to both the mother and fetus The impact of GDM diagnosis on pregnant women needs to be taken into account. This is related to the capacity for self-management of GDM, for which quality evidence is still lacking.
to identify several aspects of self-management and self- efficacy for women with GDM.
Electronic databases were searched for studies related to the self-management, self-efficacy, and glycemic control of women with GDM, from January 2012 to January 2021. The extraction of study features was based on study location, reported research aims, study design, methodology, and the analytical approach, using Endnote Version X7.7.1. The Critical Appraisal Skills Program Qualitative Checklist (CASP) was used to assess quality, as recommended by the Cochrane Qualitative Research Methods Group.
Ten out of 70 studies were identified as meeting the established criteria and including a diverse population. The synthesis revealed seven major themes: preliminary psychological impact, communicating the diagnosis, knowledge of GDM, self-efficacy and self-management of GDM, risk perception, the burden of GDM, and gaining control. The benefits of a diagnosis were behavioral and were mostly crystalized if a particular level of self-management and self-efficacy was reached and women were able to have specific control over their diet and body weight. On the other hand, women reported that the diagnosis increased their responsibility, as they had to take extra precautions regarding their dietary regimen.
Self-management and self-efficacy for GDM management are possible, despite the psychological hurdles that most women confront. There is still potential for improvement in terms of developing a healthy lifestyle that not only manages GDM for the best pregnancy result, but also prevents diabetes after pregnancy.
妊娠糖尿病（GDM）是一种由妊娠引起的暂时性糖尿病，对母亲和胎儿都有潜在危害。需要考虑 GDM 诊断对孕妇的影响。这与 GDM 的自我管理能力有关，而对于这方面，目前仍然缺乏高质量的证据。
确定 GDM 女性自我管理和自我效能的几个方面。
检索了 2012 年 1 月至 2021 年 1 月期间与 GDM 女性自我管理、自我效能和血糖控制相关的研究，使用 Endnote Version X7.7.1 提取研究特征。根据研究地点、报告的研究目的、研究设计、方法学和分析方法对研究进行评估。使用 Cochrane 定性研究方法组推荐的批判性评估技能计划定性检查表（CASP）评估质量。
从 70 项研究中确定了 10 项符合既定标准的研究，纳入了不同的人群。综合分析揭示了七个主要主题：初步心理影响、诊断沟通、GDM 知识、GDM 的自我效能和自我管理、风险感知、GDM 的负担以及获得控制。诊断带来的好处是行为上的，如果达到特定的自我管理和自我效能水平，并且女性能够对自己的饮食和体重进行特定的控制，那么好处就会更加明显。另一方面，女性报告说，诊断增加了她们的责任，因为她们必须对自己的饮食方案格外小心。
尽管大多数女性面临心理障碍，但 GDM 管理的自我管理和自我效能是可能的。在制定不仅可以管理最佳妊娠结果的 GDM 的健康生活方式方面仍有改进的空间，而且可以预防妊娠后糖尿病。
