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孕期糖尿病妇女自我管理的障碍和促进因素:使用COM-B模型进行系统审查
Shujie Guo1, Dongmei Liu2, Xiaoxuan Bi2
1School of Nursing, Lanzhou University, Lanzhou, Gansu, China; Department of Clinical Nursing, School of Nursing, Air Force Medical University, Xi'an, China.
Midwifery
|August 23, 2024
概括
了解妊娠糖尿病 (GDM) 自主管理的障碍和促进因素至关重要. 本综述综合了影响孕妇管理GDM的能力,机会和动机的因素.
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) 是一种普遍存在的妊娠并发症,其发病率正在上升.
- 有效的GDM管理依赖于患者的自我管理,这带来了重大挑战.
- 识别自我管理的障碍和促进者对于开发有针对性的干预措施至关重要.
研究的目的:
- 系统地识别和综合影响GDM自我管理的障碍和促进因素.
- 了解孕妇对GDM自我管理的经验和看法.
主要方法:
- 进行了混合方法系统审查,包括定性,定量和混合方法研究.
- 在PubMed,Embase,CINAHL和Web of Science数据库中进行了文献搜索.
- 使用能力,机会,动机,行为 (COM-B) 模型来对已识别的障碍和促进者进行分类.
主要成果:
- 36项研究符合纳入标准,为GDM自我管理提供了洞察力.
- 在能力 (例如,身体不适,知识差距),机会 (例如,资源限制,社会支持) 和动机 (例如,感知后果,情感因素) 上,确定了障碍物和促进者.
- 具体的例子包括身体上的不适,缺乏知识,有限的资源,社会支持的影响,以及对婴儿健康的担忧.
结论:
- 这次审查确定了GDM自我管理的关键障碍和促进因素,通过COM-B模型来解释.
- 未来的干预措施必须纳入这些发现,以赋予孕妇有效的自我管理所需的知识和信心.
- 解决已识别的障碍和利用促进者可以改善GDM妇女的坚持和结果.
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