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サウジアラビアの妊婦のラマダン中の糖尿病管理:自己効能,自己ケア,血糖コントロールの探索
Omar Mohammed Alamri1, António Raposo2, Ayoub Ali Alshaikh3
1Department of Obstetrics and Gynecology, Abha Maternity and Children Hospital, Abha, Saudi Arabia.
Frontiers in nutrition
|September 5, 2025
まとめ
妊娠中の糖尿病の女性はラマダンの間,自己効能を維持しましたが,自己ケア行動が減りました. 文化に敏感な教育と支援は 安全なラマダンの断食に不可欠です
科学分野:
- 内分泌学と代謝
- 妊婦と胎児の医療
- 糖尿病 管理
背景:
- ラマダンの断食は 妊娠中の糖尿病患者にとって 代謝の課題であり 低血糖症,高血糖症,脱水症のリスクを高めます
- 医者が禁食を勧めても 妊娠中の糖尿病患者の多くは 禁食することを選びます そのためには 自己管理の理解が必要です
- この研究は,ラマダンの間と後に妊娠中の女性の糖尿病の自己効能と自己ケアに関する知識のギャップを解決します.
研究 の 目的:
- ラマダンの間と後の糖尿病の妊婦の自己効能と自己ケア行動を調査し比較する.
- この特定の患者グループにおける自己効能と自己ケアに影響を与える要因を特定する.
- 安全なラマダンの断食を支援する標的の介入を開発するための洞察を提供すること.
主な方法:
- サウジアラビアの糖尿病 (妊娠期または既にある) の 162人の妊婦を対象とした横断的な研究.
- 糖尿病の自己効能スケールと糖尿病の自己ケア活動の要約のアラビア語版が使用されました.
- 自己効能と自己ケアにおける変化と関係を評価するために,ペアリングされたtテストと相関分析を行いました.
主要な成果:
- 糖尿病の自己有効性は安定した (4. 8 対 4. 9),しかし,自己ケア活動はラマダンの後 (32. 5 から 29. 8, p=0. 001) で著しく減少した.
- 医療教育は,より高い自己ケア (p<0. 001) と,試験的な断食は,自己有効性の改善 (p=0. 001) と相関していた.
- 感知された血糖コントロールはラマダーン後改善したが,低血糖症は断食 (26. 5%) の一般的な理由であった.
結論:
- 糖尿病の妊婦は,ラマダンの断食中に安定した自己効能にもかかわらず,自己ケア行動の減少を経験します.
- 文化的に敏感で妊娠に特化した介入や 継続的な教育 そしてラマダンの準備は 安全な断食に不可欠です
- 妊娠中の女性の糖尿病管理には ラマダンの後の継続的な支援が不可欠です
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