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探讨尼日利亚健康孕妇对妊娠期糖尿病的知识、态度和实践。

Exploring the Knowledge, Attitude, and Practices of Healthy Pregnant Women Towards Gestational Diabetes Mellitus in Nigeria.

机构信息

Department of Life Sciences, 323648University of Roehampton, London, UK.

Lecturer, 223914Brunel University, UK.

出版信息

Qual Health Res. 2023 Jan;33(1-2):39-52. doi: 10.1177/10497323221139105. Epub 2022 Nov 21.

DOI:10.1177/10497323221139105
PMID:36409078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9827495/
Abstract

Gestational Diabetes Mellitus (GDM) is a major public health issue and a threat to the well-being of a mother and her offspring. As a growing concern in sub-Saharan Africa, this paper explores the knowledge, attitude, and practices of healthy expectant mothers towards GDM, and the content of GDM information delivered by prenatal nurses during Antenatal Clinic (ANC) in Warri, Delta State, Nigeria. Semi-structured telephone interviews were employed with 22 participants comprising 20 pregnant women and 2 antenatal nurses. The results reveal that majority of the pregnant women were unaware of GDM as a particular health condition during pregnancy that poses a risk to both maternal and infant health and could lead to a long-term risk of developing the chronic condition of Type 2 Diabetes Mellitus (T2DM). This low level of awareness was attributed to a lack of adequate information during prenatal clinic sessions. The findings from this study emphasize the need to enhance the quality of public health education offered to pregnant women during pre and antenatal clinical services emphasizing GDM as part of the overall global agenda on promoting maternal and infant health.

摘要

妊娠期糖尿病(GDM)是一个主要的公共卫生问题,也是威胁母婴健康的一个重要因素。在撒哈拉以南非洲地区,这是一个日益受到关注的问题。本文探讨了健康的孕妇对 GDM 的认知、态度和实践,以及在尼日利亚德尔塔州 Warri 的产前诊所(ANC)中,产前护士提供的 GDM 信息的内容。研究采用半结构式电话访谈的方式,共采访了 22 名参与者,包括 20 名孕妇和 2 名产前护士。研究结果表明,大多数孕妇都不知道 GDM 是一种特定的孕期健康状况,这种状况会对母婴健康造成风险,并可能导致长期患 2 型糖尿病(T2DM)的慢性风险。这种低水平的认知是由于在产前诊所期间缺乏足够的信息。这项研究的结果强调了需要提高孕妇在产前和产前临床服务中接受的公共卫生教育的质量,强调将 GDM 作为促进母婴健康的全球整体议程的一部分。

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BMJ. 2022 May 25;377:e067946. doi: 10.1136/bmj-2021-067946.
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Burden, risk factors and maternal and offspring outcomes of gestational diabetes mellitus (GDM) in sub-Saharan Africa (SSA): a systematic review and meta-analysis.撒哈拉以南非洲地区(SSA)妊娠糖尿病(GDM)的负担、危险因素以及母婴结局:系统评价和荟萃分析。
BMC Pregnancy Childbirth. 2019 Nov 28;19(1):450. doi: 10.1186/s12884-019-2593-z.
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Prevalence and determinants of gestational diabetes mellitus in Africa based on the updated international diagnostic criteria: a systematic review and meta-analysis.基于最新国际诊断标准的非洲妊娠期糖尿病患病率及影响因素:系统评价与荟萃分析
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