Tan Jie, Chen Lumeng, Wu Yingying, Zhu Xuhong, Fei Huali
Department of Nutrition, Hangzhou Women's Hospital, Hangzhou, People's Republic of China.
Department of Outpatient, Hangzhou Women's Hospital, Hangzhou, People's Republic of China.
Int J Gen Med. 2023 Sep 26;16:4365-4376. doi: 10.2147/IJGM.S423565. eCollection 2023.
Self-monitoring of blood glucose levels and changes in diet and lifestyle play important roles in the management of gestational diabetes mellitus (GDM).
This cross-sectional study enrolled patients with GDM at Hangzhou Women's Hospital, China, between September 1, 2022, and October 26, 2022. A questionnaire was designed that included the following dimensions: demographic/clinical information, knowledge, attitude and practice. Correlations between knowledge, attitude and practice scores were evaluated using Spearman correlation analysis. Factors associated with practice score ≥14/16 were identified using multivariate logistic regression.
The analysis included 499 women with GDM and a mean age of 31.22±3.89 years. The average knowledge, attitude and practice score were 11.55±3.04, 34.23±4.06 and 10.7±2.87 points, respectively. Knowledge score was positively correlated with attitude score (=0.318, <0.001) and practice score (=0.351, <0.001); attitude and practice scores were also positively correlated (=0.209, <0.001). Multivariate analysis identified higher knowledge score (odds ratio [OR], 1.138; 95% confidence interval [95% CI], 1.042-1.244; =0.004) and higher attitude score (OR, 1.137; 95% CI, 1.060-1.219; <0.001) as independently associated with good practice (ie, practice score ≥14 points).
The results provide important insights into the knowledge, attitudes and practices of women with GDM in China regarding GDM and its management. These findings may facilitate the development and implementation of education and training programs to improve the self-management of GDM by women in China.
血糖水平的自我监测以及饮食和生活方式的改变在妊娠期糖尿病（GDM）的管理中起着重要作用。
这项横断面研究纳入了2022年9月1日至2022年10月26日期间在中国杭州妇女医院就诊的GDM患者。设计了一份问卷，包括以下维度：人口统计学/临床信息、知识、态度和实践。使用Spearman相关分析评估知识、态度和实践得分之间的相关性。使用多因素逻辑回归确定与实践得分≥14/16相关的因素。
分析纳入了499名GDM女性，平均年龄为31.22±3.89岁。知识、态度和实践的平均得分分别为11.55±3.04、34.23±4.06和10.7±2.87分。知识得分与态度得分呈正相关（=0.318，<0.001）和实践得分呈正相关（=0.351，<0.001）；态度和实践得分也呈正相关（=0.209，<0.001）。多因素分析确定较高的知识得分（优势比[OR]，1.138；95%置信区间[95%CI]，1.042 - 1.244；=0.004）和较高的态度得分（OR，1.137；95%CI，1.060 - 1.219；<0.001）与良好的实践（即实践得分≥14分）独立相关。
研究结果为中国GDM女性对GDM及其管理的知识、态度和实践提供了重要见解。这些发现可能有助于制定和实施教育培训项目，以改善中国女性对GDM的自我管理。
