Perceptions on Diet and Dietary Modifications during Postpartum Period Aiming at Attenuating Progression of GDM to DM: A Qualitative Study of Mothers and Health Care Workers.
Perceptions on Diet and Dietary Modifications during Postpartum Period Aiming at Attenuating Progression of GDM to DM: A Qualitative Study of Mothers and Health Care Workers.
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DOI：
10.1155/2018/6459364
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发表时间：
2018
影响因子：
4.3
通讯作者：
Wasalathanthri S
中科院分区：
文献类型：
--
作者：
Sundarapperuma TD;Wijesinghe CJ;Hettiarachchi P;Wasalathanthri S
妊娠糖尿病（GDM）是一个全球性的问题。GDM母亲在以后的生活中患2型糖尿病（T2DM）的相对风险为7倍。用户友好和文化上可接受的饮食干预可以最大限度地减少这种风险。因此，本研究旨在探讨GDM母亲和医护人员对影响产后饮食习惯的因素的看法，旨在减弱从GDM到DM的轨迹。 这项研究是在斯里兰卡三个地区的选定卫生部地区进行的。与三十名有GDM病史的母亲进行了六次焦点小组讨论，并对六名医护人员进行了六次深入采访。感兴趣的现象是获得投入的两个利益相关者群体的健康饮食习惯的GDM母亲在产后期间。采用框架分析法对数据进行分析。使用分析框架对数据进行编码，从成绩单中提取，并在Microsoft Excel中逐字汇总，矩阵由每个参与者一行和每个代码一列组成。最后，对汇总表进行了深入审查，并确定了主题。 总的来说，这两个案例中出现了七个主题：（1）产后时期特有的神话和传统，（2）缺乏动力，（3）时间压力，（4）经济障碍，（5）母亲和家庭的忽视，（6）缺乏对GDM及其产后饮食建议的认识，以及（7）文化障碍。 这项研究提供了一个深入了解现有的知识，共同的做法，以及对饮食习惯的态度，产后母亲与GDM的历史。由于产后期是独特的，因此在引入饮食调整方案以预防或减缓这些母亲中GDM向T2DM的进展时，识别障碍至关重要。所获得的知识将用于介绍可行的，科学合理的，文化上可接受的产后饮食建议GDM母亲。
Gestational diabetes mellitus (GDM) is a global concern. GDM mothers have a 7-fold relative risk of developing type 2 diabetes mellitus (T2DM) in their later life. User-friendly and culturally acceptable dietary interventions can minimize this risk. Therefore, this study aims at exploring the perceptions of GDM mothers and health care workers regarding factors that influence postpartum dietary practices aimed at attenuating the trajectory from GDM to DM. The study was conducted in selected MOH areas in three districts of Sri Lanka. Six focus group discussions were conducted with thirty mothers with a history of GDM and six in-depth interviews with six health care workers. The phenomenon of interest was to obtain inputs of two stakeholder groups on healthy food habits of GDM mothers during the postpartum period. Framework analysis was used to analyse the data. Data were coded using the analytical framework, abstracted from transcripts, and summarized verbatim in Microsoft Excel in a matrix comprised of one row per participant and one column per code. Finally, the matrix was reviewed intensely and themes were generated. Overall, seven themes emerged from both cases: (1) myths and traditions specific to the postpartum period, (2) lack of motivation, (3) time pressure, (4) financial barriers, (5) negligence of mothers and families, (6) lack of awareness regarding GDM and its postpartum dietary recommendations, and (7) cultural barriers. This study provides an insight into the existing knowledge, common practices, and attitudes regarding food habits among postpartum mothers with a history of GDM. Since the postpartum period is unique, identifying barriers is crucial when introducing dietary modification protocols in order to prevent or attenuate the progression of GDM to T2DM in these mothers. The knowledge gained will be used to introduce feasible, scientifically sound, and culturally acceptable postpartum dietary recommendations for GDM mothers.
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DOI：
10.3904/kjim.2016.203
发表时间：
2017-01
期刊：
The Korean journal of internal medicine
影响因子：
--
作者：
Moon JH;Kwak SH;Jang HC
通讯作者：
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影响因子：
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作者：
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影响因子：
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影响因子：
2.5
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DOI：
10.1111/j.1745-7599.2011.00646.x
发表时间：
2011-11-01
影响因子：
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作者：
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