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妊娠期糖尿病女性从诊断到产后12个月的心理社会和医疗保健利用经历:一项定性纵向访谈研究方案

The Psychosocial and Healthcare Utilisation Experiences of Women With Gestational Diabetes Mellitus From Diagnosis to 12 Months Postnatal: A Protocol for a Qualitative, Longitudinal Interview Study.

作者信息

Benton Madeleine, Payne Elana, Waheed Nabiha, Turner Katrina, Murphy Helen R, Skouteris Helen, Ismail Khalida, Silverio Sergio A

机构信息

Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Department of Women & Children's Health, School of Life Course & Population Sciences, London, UK.

出版信息

Int J Methods Psychiatr Res. 2025 Sep;34(3):e70038. doi: 10.1002/mpr.70038.

Abstract

OBJECTIVES

Gestational diabetes mellitus (GDM) affects a significant and growing proportion of women each year. We know little about how their needs and experiences change over the perinatal period. This study aims to explore the psychosocial and healthcare experiences of women with a GDM diagnosis from pregnancy to 12-month postnatal.

METHODS

This is a qualitative, longitudinal study comprising of individual interviews with women diagnosed with GDM who live in the UK at three time points: 35-weeks' gestation; 3-months postnatal; 12-months postnatal. Data will be analysed using template analysis. Comparisons will be made both between participants and timepoints to allow for biographical and temporal interpretations.

RESULTS

This study will provide in-depth insights into women's lived-experiences, psychosocial needs, and interactions with healthcare services. Particular attention will be given to the transition between antenatal and postnatal periods.

CONCLUSION

Study findings will support the co-development of a tailored mother-infant dyad intervention grounded in women's needs and preferences across the perinatal period, aimed at improving long-term health outcomes for women and their children with a focus on diabetes prevention.

摘要

目的

妊娠期糖尿病(GDM)每年影响着相当比例且数量不断增加的女性。我们对她们在围产期的需求和经历如何变化知之甚少。本研究旨在探讨被诊断为GDM的女性从怀孕到产后12个月的心理社会和医疗保健经历。

方法

这是一项定性的纵向研究,包括对居住在英国的被诊断为GDM的女性在三个时间点进行个体访谈:妊娠35周;产后3个月;产后12个月。数据将使用模板分析法进行分析。将在参与者之间以及时间点之间进行比较,以便进行传记式和时间性的解读。

结果

本研究将深入洞察女性的生活经历、心理社会需求以及与医疗保健服务的互动。将特别关注产前和产后时期的过渡。

结论

研究结果将支持共同开发一种基于女性在围产期的需求和偏好的量身定制的母婴二元干预措施,旨在改善女性及其子女的长期健康结果,重点是预防糖尿病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e27e/12426312/7cb618801514/MPR-34-e70038-g001.jpg

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