Güldner Lisa, Greffin Klara, Muehlan Holger, Stubert Johannes
University Gynecological Hospital and Polyclinic, University Medicine Rostock, 18059 Rostock, Germany.
Department Health & Prevention, Institute of Psychology, University of Greifswald, 17489 Greifswald, Germany.
Healthcare (Basel). 2023 Dec 19;12(1):1. doi: 10.3390/healthcare12010001.
In recent years, the concept of quality of life (QoL) has gained significant importance within health care and clinical research, e.g., as in patient-reported outcomes. In gestational diabetes mellitus (GDM) care, enhancing QoL through reasonable interventions is considered equally important as achieving metabolic control and preventing complications in the treatment process, leading to the suggestion that QoL assessment should be implemented as a clinical standard in GDM care. Although a considerable number of questionnaires for the measurement of general as well as health-related and diabetes-specific QoL are frequently used in GDM research, a validated QoL questionnaire tailored to women with GDM does not exist in German-speaking countries. To develop and test such an instrument, we plan to conduct the following steps: (a) translate the Persian questionnaire GDMQ-36, the only GDM-specific questionnaire to date; (b) conduct expert ratings as well as pretests featuring cognitive debriefings and structured interviews with women suffering from GDM for evaluating comprehensibility, face and content validity; (c) pilot and validate the preliminary questionnaire in terms of testing its psychometric performance (e.g., via confirmatory factor analysis). The resulting GDM-specific questionnaire will facilitate a broader perspective of the pregnant women's expectations, needs, impairments, and burdens related to their disease, and its treatment. This enables physicians and other health professionals to establish an individualized treatment plan and to provide customized information, support, and psychological counseling, which helps to optimize the provided care.
近年来，生活质量（QoL）的概念在医疗保健和临床研究中变得极为重要，例如在患者报告的结局中。在妊娠期糖尿病（GDM）护理中，通过合理干预提高生活质量被认为与在治疗过程中实现代谢控制和预防并发症同样重要，这导致有人建议将生活质量评估作为GDM护理的临床标准来实施。尽管在GDM研究中经常使用大量用于测量一般、健康相关以及糖尿病特定生活质量的问卷，但在德语国家并不存在专门为患有GDM的女性量身定制的经过验证的生活质量问卷。为了开发和测试这样一种工具，我们计划采取以下步骤：（a）翻译波斯问卷GDMQ - 36，这是迄今为止唯一的特定于GDM的问卷；（b）进行专家评分以及预测试，预测试包括认知反馈和对患有GDM的女性进行结构化访谈，以评估可理解性、表面效度和内容效度；（c）通过测试其心理测量性能（例如通过验证性因素分析）对初步问卷进行试点和验证。最终得到的特定于GDM的问卷将有助于更全面地了解孕妇对其疾病及其治疗的期望、需求、损伤和负担。这使医生和其他卫生专业人员能够制定个性化的治疗计划，并提供定制的信息、支持和心理咨询，从而有助于优化所提供的护理。
