School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Department of Nursing, New Taipei Municipal TuCheng Hospital (Built and Operated by Chang Gung Medical Foundation), New Taipei, Taiwan.
Nurs Open. 2023 Mar;10(3):1744-1754. doi: 10.1002/nop2.1431. Epub 2022 Oct 26.
Gestational diabetes mellitus (GDM) has become the most common complication in women during pregnancy in Taiwan. Since several clinical trials have demonstrated benefits of aggressive treatment, which rely heavily on self-management. The present study was conducted to explore the self-management experience of women with first-time diagnosed GDM.
A qualitative descriptive approach was applied to conduct this study.
Purposive sampling was used to recruit patients with first-time diagnosed GDM from the maternity outpatient clinics of medical centre in Taiwan. A total of three focus groups interviews with 22 women were conducted to collect the data. Content analysis was applied to analyse the data.
Four themes were identified: (1) unexpectedly having a high-risk pregnancy, (2) different perceptions for self-management, (3) implementation predicament of self-management and (4) maternal duty to ensure the safety of mother and child.
妊娠糖尿病（GDM）已成为台湾孕妇最常见的并发症。由于几项临床试验表明积极治疗（严重依赖自我管理）有益，本研究旨在探讨初次诊断为 GDM 的女性的自我管理经验。
本研究采用定性描述方法进行。
采用目的性抽样方法，从台湾某医学中心的妇产科门诊招募初次诊断为 GDM 的患者。共进行了 3 次焦点小组访谈，共有 22 名女性参与，以收集数据。采用内容分析法对数据进行分析。
确定了 4 个主题：（1）意外的高危妊娠，（2）对自我管理的不同看法，（3）自我管理的实施困境，（4）确保母婴安全的母亲职责。
