Women's experiences of gestational diabetes self-management: A qualitative study
Women's experiences of gestational diabetes self-management: A qualitative study
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DOI：
10.1016/j.midw.2012.05.013
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发表时间：
2013-06-01
期刊：
影响因子：
2.7
通讯作者：
Carolan, Mary
中科院分区：
文献类型：
--
作者：
Carolan, Mary
目的：探讨妇女自我管理妊娠糖尿病的经验。设计和参与者：研究设计是通过解释现象学分析。数据收集使用半结构化访谈和一个焦点小组。参与者包括15名诊断为妊娠期糖尿病的妇女，她们经历了自我管理的情况。结果：增量调整发生在4个离散的主题上，包括：（1）诊断的冲击;（2）接受GDM;（3）制定/学习新的策略;（4）展望未来。每一个调整阶段都以第五个主题（5）为基础，具有支持性的环境。在整个过程中，参与者报告说，考虑到婴儿是一个强大的动力，坚持妊娠期糖尿病管理regulations.Key结论和影响的做法：这项研究表明，妇女经历了一个过程的调整后，GDM诊断，因为他们学会自我管理自己的条件。这一过程在很大程度上是由妇女的利益，最大限度地提高胎儿的健康，这可能使他们接受干预措施，以改善GDM控制和预防2型糖尿病在未来的促进。(C)2012爱思唯尔有限公司保留所有权利。
Objective: to explore women's experiences of self-managing their gestational diabetes.Design and participants: the study design was informed by interpretive phenomenological analysis. Data was collected using semi-structured interviews and one focus group. Participants included 15 women with a diagnosis of gestational diabetes who had experienced self-management of their condition.Results: incremental adjustment occurred over 4 discrete themes, including: (1) the shock of diagnosis; (2) coming to terms with GDM; (3) working it out/learning new strategies; (4) looking to the future. Each adjustment phase was underpinned by the fifth theme (5) having a supportive environment. Throughout, participants reported that thinking about the baby was a powerful motivator for adherence to gestational diabetes management regimens.Key conclusions and implications for practice: this study has shown that women undergo a process of adjustment following GDM diagnosis as they learn to self-manage their condition. The process is largely facilitated by the women's interest in maximising fetal health which may make them receptive to interventions to improve GDM control and to prevent type 2 diabetes in the future. (C) 2012 Elsevier Ltd. All rights reserved.