我的风险是什么? 对心脏代谢妊娠并发症和未来心脏代谢疾病发展风险感知的混合方法系统审查
Elaine K Osei-Safo1, Jennifer McIntosh2, Shakira Onwuka2
1Monash Centre for Health Research and Implementation, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.
概括
孕期并发症风险较高的妇女往往低估了他们未来心脏代谢疾病的风险. 改善风险感知是激励生活方式改变以获得更好的健康结果的关键.
科学领域:
- 产科和妇科 产科和妇科
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
背景情况:
- 心脏代谢性妊娠并发症提高了未来心脏代谢性疾病的风险.
- 准确的风险感知对于采用预防性生活方式行为至关重要.
- 本综述考察了高风险孕妇和产后妇女的风险感知.
研究的目的:
- 探索高风险孕妇和产后妇女如何感知他们患心脏代谢性妊娠并发症的风险.
- 评估女性对未来心脏代谢疾病风险的看法.
- 识别影响风险感知和行为改变的因素.
主要方法:
- 系统地搜索定量和定性研究.
- 包括有妊娠糖尿病 (GDM),妊娠高血压障碍 (HDP),子宫内生长限制 (IUGR) 和早产 (PTB) 风险或诊断的妇女.
- 使用健康信念和行为变化模型进行融合综合混合方法合成.
主要成果:
- 审查了84项研究,主要涉及GDM和HDP.
- 妇女报告了低到中等的知识和对怀孕并发症和未来心脏代谢疾病的感知易感性.
- 自我感知的障碍,促进者和自我有效性影响了对生活方式和查的参与.
结论:
- 干预措施应侧重于优化女性的风险感知.
- 通过准确的风险信息赋予妇女权力,可以支持知情决策.
- 加强风险感知可以推动生活方式的改变,以减轻未来的心脏代谢风险.
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