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妊娠糖尿病女性自我管理中的自我报告障碍:定性研究的系统评价

Self-reported barriers in self-management of women with gestational diabetes: A systematic review of qualitative studies.

作者信息

Xu Nuo, Han Xia, Chen Sijing, Zhang Jingjing, Gu Ping

机构信息

School of Nursing, Nanjing Medical University, Nanjing, China.

Women's Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital), Nanjing, China.

出版信息

Nurs Open. 2023 Nov;10(11):7130-7143. doi: 10.1002/nop2.1988. Epub 2023 Sep 12.

Abstract

AIM

To provide a systematic review of the qualitative literature on self-reported barriers to self-management in pregnant women with gestational diabetes mellitus (GDM).

DESIGN

Systematic review.

METHODS

This systematic review followed the Joanna Briggs Institute meta-aggregation approach and was evaluated using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. Qualitative studies on the barriers to self-management among GDM pregnancy survivors conducted until 17 May 2022, were searched.

RESULTS

A total of 30 studies were included, of which seven were in Chinese and 23 were in English, and 10 findings resulted in three themes: (a) Knowledge and belief, (b) Skills and abilities and (c) Environment and social support. By summarizing the self-reported barriers to self-management in patients with GDM and recommends precise interventions for these barriers, thereby saving health resources and helping to increase their willingness and ability to engage in self-management.

摘要

目的

对关于妊娠期糖尿病(GDM)孕妇自我管理自我报告障碍的定性文献进行系统评价。

设计

系统评价。

方法

本系统评价遵循乔安娜·布里格斯研究所的元聚合方法,并使用乔安娜·布里格斯研究所定性研究批判性评价清单进行评估。检索了截至2022年5月17日进行的关于GDM妊娠幸存者自我管理障碍的定性研究。

结果

共纳入30项研究,其中7项为中文,23项为英文,10项研究结果形成三个主题:(a)知识与信念,(b)技能与能力,(c)环境与社会支持。通过总结GDM患者自我管理的自我报告障碍,并针对这些障碍推荐精确的干预措施,从而节省卫生资源并有助于提高他们参与自我管理的意愿和能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a58c/10563407/f4a9b5d92d68/NOP2-10-7130-g001.jpg

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