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本文引用的文献

1
Influence of Appetite and Perceived Ability to Control Cravings on Excessive Gestational Weight Gain.食欲和对控制食欲的感知能力对过度妊娠体重增加的影响。
J Obstet Gynecol Neonatal Nurs. 2021 Nov;50(6):669-678. doi: 10.1016/j.jogn.2021.08.097. Epub 2021 Aug 31.
2
Gestational Diabetes Mellitus per Different Diagnostic Criteria, Risk Factors, Obstetric Outcomes and Postpartum Glycemia: A Prospective Study in Ghana.不同诊断标准下的妊娠期糖尿病、危险因素、产科结局及产后血糖情况:加纳的一项前瞻性研究
Clin Pract. 2021 May 7;11(2):257-271. doi: 10.3390/clinpract11020039.
3
How do women with a history of gestational diabetes mellitus use mHealth during and after pregnancy? Qualitative exploration of women's views and experiences.患有妊娠糖尿病病史的女性在怀孕期间和产后如何使用移动医疗?对女性观点和经验的定性探讨。
Midwifery. 2021 Jul;98:102995. doi: 10.1016/j.midw.2021.102995. Epub 2021 Mar 21.
4
Women's experience with receiving advice on diet and Self-Monitoring of blood glucose for gestational diabetes mellitus: a qualitative study.女性在接受妊娠糖尿病饮食和自我血糖监测建议方面的体验:一项定性研究。
Scand J Prim Health Care. 2021 Mar;39(1):44-50. doi: 10.1080/02813432.2021.1882077. Epub 2021 Feb 8.
5
Effects of the Dietary Approaches to Stop Hypertension (DASH) on Pregnancy/Neonatal Outcomes and Maternal Glycemic Control: A Systematic Review and Meta-analysis of Randomized Clinical Trials.膳食限制高血压(DASH)对妊娠/新生儿结局和产妇血糖控制的影响:一项随机临床试验的系统评价和荟萃分析。
Complement Ther Med. 2020 Nov;54:102551. doi: 10.1016/j.ctim.2020.102551. Epub 2020 Sep 2.
6
Improving the effectiveness of lifestyle interventions for gestational diabetes prevention: a meta-analysis and meta-regression.提高生活方式干预预防妊娠期糖尿病的效果:一项荟萃分析和荟萃回归。
BJOG. 2019 Feb;126(3):311-320. doi: 10.1111/1471-0528.15467. Epub 2018 Oct 24.
7
Understanding the Experiences of East African Immigrant Women With Gestational Diabetes Mellitus.了解东非移民妇女妊娠糖尿病的体验。
Can J Diabetes. 2018 Dec;42(6):632-638. doi: 10.1016/j.jcjd.2018.01.013. Epub 2018 Feb 2.
8
Combined diet and exercise interventions for preventing gestational diabetes mellitus.预防妊娠期糖尿病的饮食与运动联合干预措施。
Cochrane Database Syst Rev. 2017 Nov 13;11(11):CD010443. doi: 10.1002/14651858.CD010443.pub3.
9
Going up, going down: the experience, control and management of gestational diabetes mellitus among Southeast Asian migrant women living in urban Australia.起起落落:居住在澳大利亚城市的东南亚移民女性妊娠期糖尿病的经历、控制与管理
Health Promot J Austr. 2017 Aug;28(2):123-131. doi: 10.1071/HE15130.
10
Sources of information on Gestational Diabetes Mellitus, satisfaction with diagnostic process and information provision.妊娠期糖尿病的信息来源、对诊断过程的满意度及信息提供情况。
BMC Pregnancy Childbirth. 2016 Sep 29;16(1):287. doi: 10.1186/s12884-016-1067-9.

被诊断出妊娠糖尿病后,我感到害怕和异常,甚至在筛查和管理过程中大哭了一场。

I got frightened and felt strange. I even cried a lot after the diagnosis; the experiences on the screening and management of gestational diabetes mellitus among diagnosed women.

机构信息

Department of Global and International Health, School of Public Health, University for Development Studies, Tamale, Ghana.

Department of Nutritional Sciences, School of Allied Health Sciences, University for Development Studies, Tamale, Ghana.

出版信息

BMC Res Notes. 2023 Sep 29;16(1):236. doi: 10.1186/s13104-023-06494-w.

DOI:10.1186/s13104-023-06494-w
PMID:37770971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10540323/
Abstract

INTRODUCTION

Understanding the experiences of women diagnosed with Gestational Diabetes Mellitus (GDM) can improve screening, management, and postpartum care. Therefore, this study sought to investigate experiences on the screening and management of GDM among diagnosed women.

METHODS

This was a facility-based explorative qualitative design among five purposively sampled women diagnosed with GDM who were receiving care from healthcare professionals. Women were asked about their reaction to being diagnosed with GDM, their experiences with care, training, self-monitoring, and challenges with the management of GDM, and data obtained were analysed using thematic analysis.

RESULTS

Based on the thematic analysis, three main themes and ten sub-themes were generated. They were emotional experience (prior information on GDM before being diagnosed, and feelings about the diagnosis and blood glucose measurement), information source and care experience (source of information on healthy diet, training on blood glucose measurement, experiences with follow-up, and general impressions on GDM care), and dietary and lifestyle experience ( perceptions on dietary approaches, difficulties in getting and adhering to dietary and lifestyle guidelines, alternative treatment methods patronized, and effectiveness of dietary and lifestyle approaches).

CONCLUSION

The themes generated had psycho-emotional underpinning, and underscores the importance of psychotherapy when disclosing disease status and initiating medical care. The findings of this study could be important for the optimisation of GDM care and services for affected women.

摘要

简介

了解被诊断患有妊娠期糖尿病(GDM)的女性的体验可以改善筛查、管理和产后护理。因此,本研究旨在调查被诊断为 GDM 的女性在筛查和管理方面的体验。

方法

这是一项基于机构的探索性定性设计,在五名被诊断为 GDM 并接受医护人员护理的女性中进行。向这些女性询问她们对被诊断为 GDM 的反应、对护理、培训、自我监测的体验以及对 GDM 管理的挑战,然后使用主题分析对数据进行分析。

结果

根据主题分析,产生了三个主要主题和十个子主题。它们是情绪体验(在被诊断之前关于 GDM 的先前信息,以及对诊断和血糖测量的感觉)、信息来源和护理体验(关于健康饮食的信息来源、血糖测量的培训、随访体验以及对 GDM 护理的总体印象)和饮食和生活方式体验(对饮食方法的看法、获得和遵守饮食和生活方式指南的困难、使用替代治疗方法以及饮食和生活方式方法的有效性)。

结论

产生的主题具有心理情感基础,强调在披露疾病状况和开始医疗护理时进行心理治疗的重要性。本研究的结果可能对优化受影响女性的 GDM 护理和服务非常重要。