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阿拉伯语国家实施的妊娠期糖尿病教育管理干预措施:一项系统综述。

Gestational diabetes education management interventions implemented across Arabic-speaking countries: A systematic scoping review.

作者信息

Alzaben Abeer Salman, Bawazeer Nahla Mohammed, Almoayad Fatmah, Benajiba Nada, Dodge Elizabeth, Aboul-Enein Basil H

机构信息

Princess Nourah bint Abdulrahman University, College of Health and Rehabilitation Sciences, Department of Health Sciences, Riyadh, Saudi Arabia.

Ibn Tofail University-CNESTEN, Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Rabat, 14000 Kenitra, Morocco.

出版信息

Midwifery. 2025 Aug;147:104453. doi: 10.1016/j.midw.2025.104453. Epub 2025 May 9.

Abstract

Background The prevalence of Gestational Diabetes Mellitus (GDM) in Arabic-speaking countries varies from 1.2 % (Jordan) to almost 40 % (Saudi Arabia). Untreated GDM increases the risk of poor maternal and neonatal health outcomes. Objective This systematic scoping review aims to examine the current literature to determine the effectiveness of interventions designed to manage and prevent GDM across Arabic-speaking countries. Design Systematic scoping review. Methods Employing the PRISMA-ScR and the AND-EAL for study quality and bias assessment, a comprehensive review of the literature was conducted using 12 databases and search terms relevant to GDM interventions conducted across the League of Arab states. The search period includes intervention studies published up to and including August 31st, 2024. Findings Eight studies met the inclusion criteria. Interventions conducted included those modeled on the Health Behavior Change model, Theory of Reasoned Action and the PRECEDE model, constructs of Social Cognitive Theory including self-efficacy, GDM self-management, lifestyle management and BASNEF model-based empowerment. The intervention studies had positive effect on GDM knowledge, self-efficacy, A1C levels, quality of life, maternal and neonatal outcomes. Conclusion Prevention and management of GDM is important in addressing maternal and neonatal health outcomes. Interventions designed with a theoretical framework and those that are culturally tailored are more likely to elicit behavior change.

摘要

背景

在阿拉伯语国家,妊娠期糖尿病(GDM)的患病率从1.2%(约旦)到近40%(沙特阿拉伯)不等。未经治疗的GDM会增加孕产妇和新生儿健康不良结局的风险。目的:本系统综述旨在审视当前文献,以确定旨在管理和预防阿拉伯语国家GDM的干预措施的有效性。设计:系统综述。方法:采用PRISMA-ScR和AND-EAL进行研究质量和偏倚评估,使用12个数据库和与阿拉伯国家联盟开展的GDM干预措施相关的检索词对文献进行全面综述。检索期包括截至2024年8月31日(含该日)发表的干预研究。结果:八项研究符合纳入标准。所开展的干预措施包括基于健康行为改变模型、理性行动理论和PRECEDE模型的干预措施、社会认知理论的构成要素(包括自我效能感)、GDM自我管理、生活方式管理以及基于BASNEF模型的赋权。干预研究对GDM知识、自我效能感、糖化血红蛋白(A1C)水平、生活质量、孕产妇和新生儿结局产生了积极影响。结论:GDM的预防和管理对于改善孕产妇和新生儿健康结局至关重要。基于理论框架设计且经过文化调适的干预措施更有可能引发行为改变。

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