改善来自澳大利亚文化和语言多样化的孕期糖尿病妇女的经验:一项定性研究
Hiu Wing Rachel Lau1, Johnathon Dong1,2, Tessa Weir1,3
1Sydney Medical School, University of Sydney, Camperdown, NSW, Australia.
Frontiers in public health
|January 31, 2024
概括
来自不同文化和语言背景的女性面临着独特的挑战,因为语言障碍和缺乏量身定制的信息导致妊娠糖尿病 (GDM) 的管理. 改善医疗保健支持对于更好的GDM体验至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 孕期糖尿病 (GDM) 是一种在全球范围内快速增长的糖尿病类型,特别是在澳大利亚.
- 现有的关于GDM经验的研究往往忽略了少数民族群体和来自英语背景的人之间的比较.
研究的目的:
- 研究来自不同文化和语言背景的女性GDM的诊断反应,GDM管理和医疗保健服务经验.
- 为了比较文化和语言多样性 (CALD) 妇女和澳大利亚出生的妇女之间的这些经验.
主要方法:
- 半结构化,一对一的采访对30名被诊断为GDM的女性进行 (7名澳大利亚出生的,11名中国人,8名印度人,4名韩国人).
- 采访被录音,转录和分析,使用诱导和描述编码来识别主题.
- 参与者通过在北悉尼当地卫生区的三个医院的产前诊所的广告来招募.
主要成果:
- 出现了五个主要主题:对诊断的反应,管理问题,社会支持,信息获取和医疗保健经验.
- 文化特定的饮食信息,可访问的社会支持和语言服务被确定为影响GDM管理的关键因素.
- 在CALD妇女和澳大利亚出生的妇女之间注意到GDM经验的差异,主要是由于这些已识别的因素.
结论:
- 医疗保健系统必须在GDM诊断期间提供增强的情感支持.
- 适应文化生活方式变革的指导方针和整合社会支持网络对于改善GDM护理至关重要.
- 让朋友和家人参与护理和管理计划可以显著提高CALD妇女的GDM体验.
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