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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.

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。

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Living with gestational diabetes in a rural community.在农村社区与妊娠期糖尿病共处。
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