了解新加坡孕期糖尿病妇女的经历:一种定性研究
Monica Ashwini Lazarus1,2, V Vien Lee1, Desmond Luan Seng Ong3
1Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
International journal of women's health
|June 13, 2025
概括
被诊断为妊娠糖尿病 (GDM) 的妇女从诊断到长期管理经历了情感和信息挑战. 改善教育和以家庭为中心的护理对于更好的结果至关重要.
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) 在东南亚普遍存在,影响新加坡约20%的怀孕.
- 患有GDM的女性患2型糖尿病的风险增加.
- 人们对GDM管理的理解有限,特别是在提供者需求,个人责任和家庭动态方面.
研究的目的:
- 探索女性及其配偶在管理妊娠糖尿病的经验.
- 了解GDM从诊断到长期自我管理的过程.
主要方法:
- 在过去五年内对19名被诊断患有GDM的女性进行了单独的半结构面试.
- 采访了GDM妇女的五位配偶.
- 利用布朗和克拉克的反射主题分析来解释数据.
主要成果:
- 确定了三个关键主题:诊断,管理和长期经验.
- 妇女报告说在GDM诊断过程中感到压倒和蒙蔽.
- 挑战包括难以获取信息和医疗保健支持,应对不支持的家庭态度以及不清楚的产后后续程序.
- 在分娩后,妇女与持续的健康行为变化作斗争,并感到医疗保健系统忽视了她们的GDM历史.
结论:
- 患有GDM的女性在整个旅程中都面临着持续的情感和信息挑战.
- 建议加强GDM教育和以家庭为中心的后续护理,以改善长期健康结果.
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