Barriers to and Facilitators of Postpartum Follow-Up Care in Women with Recent Gestational Diabetes Mellitus: A Qualitative Study
Barriers to and Facilitators of Postpartum Follow-Up Care in Women with Recent Gestational Diabetes Mellitus: A Qualitative Study
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DOI：
10.1089/jwh.2010.2233
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发表时间：
2011-02-01
影响因子：
3.5
通讯作者：
Clark, Jeanne M.
中科院分区：
文献类型：
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作者：
Bennett, Wendy L.;Ennen, Christopher S.;Clark, Jeanne M.
目的：有妊娠期糖尿病(GDM)病史的女性患2型糖尿病(T2 DM)的风险增加，但通常不会回来接受后续护理。我们探讨了近期妊娠期糖尿病患者产后随访护理的障碍和促进者。方法：我们进行了22次半结构化访谈，其中13次面谈，9次电话采访，并进行录音和转录。两名调查人员独立编码了文字记录。我们确定了主题和次主题的类别。阿特拉斯。结果：平均年龄31.5岁(标准差)[SD]4.5，非白人占63%，平均体重指数(BMI)为25.9 kg/m(2)(SD 6.2)，产后访视占82%。我们确定了四个说明障碍的一般主题和六个说明产后后续护理促进者的主题。因适应新生婴儿而产生的情绪压力和害怕在就诊时被诊断为糖尿病是关键障碍；儿童看护的可获得性和对体检的渴望是促进护理的关键因素。结论：最近患有妊娠期糖尿病的妇女报告了多个障碍和产后后续护理的促进者。我们的结果将为开发干预措施提供信息，以改善对这些妇女的护理，以降低随后的糖尿病风险。
Objectives: Women with a history of gestational diabetes mellitus (GDM) have an increased risk of developing type 2 diabetes (T2DM) but often do not return for follow-up care. We explored barriers to and facilitators of postpartum follow-up care in women with recent GDM.Methods: We conducted 22 semistructured interviews, 13 in person and 9 by telephone, that were audiotaped and transcribed. Two investigators independently coded transcripts. We identified categories of themes and subthemes. Atlas. ti qualitative software (Berlin, Germany) was used to assist data analysis and management.Results: Mean age was 31.5 years (standard deviation) [SD] 4.5), 63% were nonwhite, mean body mass index (BMI) was 25.9 kg/m(2) (SD 6.2), and 82% attended a postpartum visit. We identified four general themes that illustrated barriers and six that illustrated facilitators to postpartum follow-up care. Feelings of emotional stress due to adjusting to a new baby and the fear of receiving a diabetes diagnosis at the visit were identified as key barriers; child care availability and desire for a checkup were among the key facilitators to care.Conclusions: Women with recent GDM report multiple barriers and facilitators of postpartum follow-up care. Our results will inform the development of interventions to improve care for these women to reduce subsequent diabetes risk.