The maternal experience of having diabetes in pregnancy

The maternal experience of having diabetes in pregnancy
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DOI:
10.1111/j.1745-7599.2011.00646.x
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发表时间:
2011-11-01
影响因子:
--
通讯作者:
Chertok, Ilana R. Azulay
Chertok, Ilana R. Azulay
中科院分区:
其他
文献类型:
--
作者:
Nolan, Jill A.;McCrone, Susan;Chertok, Ilana R. Azulay

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目的:采用焦点小组和个别电话访谈的方法描述妊娠期患2型或妊娠期糖尿病的产妇经历。数据来源:8名至少在一次怀孕期间患有2型或妊娠糖尿病的妇女参加了定性研究,解决了关于她们经历的开放式指导问题。结论:这一现象学研究给出了女性在怀孕期间患糖尿病的经历和担忧。出现并确定了三个主要主题:(a)对与糖尿病有关的婴儿感到关切,(b)对与糖尿病有关的自我感到关切,以及(c)感到失去对其健康的个人控制。还确定了每个主要主题的次级主题。对实践的启示:这些妇女分享的经验可能有助于制定旨在满足妊娠期糖尿病妇女需求的干预措施。通过学习现象学研究的主题,高级实习护士可以预测诊断为妊娠期糖尿病的妇女的需求,以加强他们的护理、教育和促进妊娠期糖尿病自我管理。
Purpose: To describe the maternal experience of having type 2 or gestational diabetes in pregnancy using focus groups and individual telephone interviews.Data sources: Eight women who had type 2 or gestational diabetes in at least one pregnancy and participated in the qualitative study addressing the open-ended guiding questions on their experience.Conclusions: This phenomenological study gave voice to the women's experience with and concerns about having diabetes in pregnancy. Three primary themes emerged and were identified: (a) feeling concern for the infant related to diabetes, (b) feeling concern for self related to diabetes, and (c) sensing a loss of personal control over their health. Subthemes for each of the primary themes were also identified.Implications for practice: The experiences shared by these women may serve to inform the development of interventions aimed at meeting the needs of women with diabetes in pregnancy. By learning from the themes of the phenomenological study, advance practice nurses may anticipate the needs of the women diagnosed with diabetes in pregnancy to augment their care, education, and promotion of diabetes self-management in pregnancy.