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影响约旦难民营中孕妇妊娠期糖尿病自我护理的因素。

Factors influencing gestational diabetes self-care among pregnant women in a Syrian Refugee Camp in Jordan.

机构信息

Faculty of Nursing, Applied Science Private University, Amman, Jordan.

College of Health Sciences, Abu Dhabi University, Khalifa City, United Arab Emirates.

出版信息

PLoS One. 2024 Feb 15;19(2):e0297051. doi: 10.1371/journal.pone.0297051. eCollection 2024.

Abstract

AIM

The main objective of this study is to identify the level of self-care practices and the determinants of Gestational Diabetes Mellitus (GDM) among pregnant women residing in one of the refugee camps in Jordan.

METHOD

A cross-sectional study was conducted on a convenient sample of forty women diagnosed with GDM from the high-risk maternity clinic in one of the Syrian refugee camps in Jordan. The study used the Gestational Diabetes Management Self-Efficacy Scale (GDMSES), Diabetes Knowledge (DMK) assessment, and Diabetes Self-Care Activities Questionnaire (SDSCA) to measure the variables of interest. Descriptive analysis and Multiple logistic regression were used to assess for significant factors.

RESULTS

Significant associations were found between the subcategories of diet, exercise, and blood sugar control in both the self-efficacy and self-activity scales (p < 0.01, p < 0.01, p < 0.05), respectively. Two factors were associated with higher GDM self-care: diabetes knowledge and higher self-efficacy toward GDM self-care (p < 0.05).

CONCLUSION

The findings of this study highlight that pregnant women with GDM who have higher levels of self-efficacy and diabetes knowledge are more likely to achieve higher levels of GDM self-care. Beside developing health promotion programs to enhance women's self-efficacy in adhering to GDM care, adequate support and relevant resources to facilitate GDM management among refugee women are recommended. Future research for identifying other potential factors affecting GDM self-care among refugees is highly recommended.

摘要

目的

本研究的主要目的是确定居住在约旦某难民营的孕妇的自我护理实践水平和妊娠期糖尿病(GDM)的决定因素。

方法

在约旦某叙利亚难民营高危产妇诊所,对 40 名确诊为 GDM 的孕妇进行了横断面研究。该研究使用了妊娠期糖尿病管理自我效能量表(GDMSES)、糖尿病知识(DMK)评估和糖尿病自我护理活动问卷(SDSCA)来测量感兴趣的变量。采用描述性分析和多逻辑回归来评估显著因素。

结果

在自我效能和自我活动量表的饮食、运动和血糖控制的各个亚类中,均发现有显著关联(p<0.01,p<0.01,p<0.05)。有两个因素与更高的 GDM 自我护理相关:糖尿病知识和更高的 GDM 自我护理自我效能(p<0.05)。

结论

本研究的结果强调,自我效能和糖尿病知识水平较高的 GDM 孕妇更有可能实现更高水平的 GDM 自我护理。除了制定增进妇女对 GDM 护理的自我效能的健康促进计划外,还建议为难民妇女提供充足的支持和相关资源,以促进 GDM 管理。强烈建议未来对影响难民 GDM 自我护理的其他潜在因素进行研究。

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本文引用的文献

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Gestational Diabetes and International Migration.妊娠期糖尿病与国际移民
J Endocr Soc. 2022 Oct 27;7(1):bvac160. doi: 10.1210/jendso/bvac160. eCollection 2022 Nov 17.
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14. Management of Diabetes in Pregnancy: .14. 妊娠期间糖尿病的管理:
Diabetes Care. 2021 Jan;44(Suppl 1):S200-S210. doi: 10.2337/dc21-S014.

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