Health Behaviours of Postpartum Women with a History of Gestational Diabetes
Health Behaviours of Postpartum Women with a History of Gestational Diabetes
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DOI：
10.1016/s1499-2671(10)43011-7
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发表时间：
2010-09-01
影响因子：
2.5
通讯作者：
Wellington, Christine M.
中科院分区：
文献类型：
--
作者：
Evans, Marilyn K.;Patrick, Linda J.;Wellington, Christine M.
目的：1）探讨近期妊娠糖尿病妇女产后第一年的健康行为; 2）比较她们的自感健康状况与她们建立和维持健康生活方式改变的实际经历。采用半结构化访谈，辅以SF-36健康调查表的同步混合方法设计，饮食回忆和活动水平的记录收集在多个intervention.Results：共有16名妇女评价他们的一般健康状况（SF-36）为良好或非常好，但饮食很少符合加拿大的食品指南的建议。叙述揭示了最初的经验放弃和不确定性方面保持健康，并在1年继续前进。持续的支持和教育产后被确定为需要保持在pregnancy.Conclusions作出的变化：参与者承认他们的2型糖尿病的风险增加，并认识到健康的行为，可能会预防糖尿病，但是，持续的生活方式改变饮食和活动被描述为困难。
Objectives: 1) To explore the health behaviours of women with recent gestational diabetes mellitus in the first year postpartum; and 2) to compare their perceived health status with their actual experiences in establishing and maintaining healthy lifestyle changes.Methods: A concurrent mixed method design using semi-structured interviews, supplemented by the Short-Form 36 (SF-36) Health Survey, diet recall and activity-level records collected at multiple intervals.Results: A total of 16 women rated their general health (SF-36) as good or very good, but diets rarely met Canada's Food Guide recommendations. Narratives revealed initial experiences of abandonment and uncertainty with respect to staying healthy and moving on at 1 year. Continuing support and education postpartum were identified as being needed to maintain changes made during pregnancy.Conclusions: Participants acknowledged their increased risk for type 2 diabetes and were cognizant of health behaviours that might prevent diabetes; however, sustaining lifestyle changes in diet and activity were described as difficult.