Barriers and coping strategies of women with gestational diabetes to follow dietary advice
Barriers and coping strategies of women with gestational diabetes to follow dietary advice
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DOI：
10.1016/j.wombi.2014.07.001
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发表时间：
2014-12-01
期刊：
影响因子：
3.8
通讯作者：
Salamon, Elizabeth
中科院分区：
文献类型：
--
作者：
Hui, Amy Leung;Sevenhuysen, Gustaaf;Salamon, Elizabeth
目的：目的：了解妊娠期糖尿病（GDM）妇女遵循饮食建议的障碍和应对策略。设计：定性研究。参与者：来自温尼伯地区的30名GDM妇女参加了研究。每个参与者完成了一个食物选择地图（FCM）半结构化interview和人口学questionnaire.Major outcome measures：潜在的信念与GDM妇女和因素，阻碍以下dietary advice.Analysis：定性数据分析使用不断比较的方法，以确定新兴的主题的因素和信念，影响以下dietary advice. Analysis。结果：GDM妇女面临的挑战和障碍包括：（1）个人食物偏好与饮食建议相冲突;（2）在不同的社会环境中进食，食物选择和份量失控，食物选择决策受社会规范影响;（3）缺乏饮食管理的知识和技能，缺乏量身定制的饮食计划。结论与启示：在短时间内快速适应饮食管理为GDM妇女带来了挑战。当女性谈到遵循饮食建议时，报告了压力和焦虑。量身定制的教育和心理健康咨询与考虑的障碍，可以促进饮食依从性和整体更好的健康。2014年澳大利亚助产士学院。出版社：Elsevier Australia（Reed International Books Australia Pty Ltd）All rights reserved.
Objective: To understand barriers and coping strategies of women with gestational diabetes (GDM) to follow dietary advice.Design: Qualitative study.Participants: Thirty women with GDM from the Winnipeg area participated. Each participant completed a Food Choice Map (FCM) semi-structured interview and a demographic questionnaire.Major outcome measures: Underlying beliefs of women with GDM and factors that hinder following dietary advice.Analysis: Qualitative data analyzed using constant comparative method to identify emergent themes of factors and beliefs that affected following dietary advice. Themes were categorized within the Integrative Model of Behavioral Prediction.Results: GDM women faced challenges and barriers when (1) personal food preference conflicted with dietary advice; (2) eating in different social environments where food choice and portions were out of control and food choice decisions were affected by social norms; (3) lack of knowledge and skills in dietary management and lack of a tailored dietary plan.Conclusions and implications: Quick adaptation to dietary management in a short time period created challenges for women with GDM. Stress and anxiety were reported when women talked about following dietary advice. Tailored educational and mental health consultation with consideration of the barriers may promote dietary compliance and overall better health. (C ) 2014 Australian College of Midwives. Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd). All rights reserved.