孕期糖尿病女性的预孕感知,知识和行为:一种定性研究
Elana Payne1,2,3, Danielle Schoenaker4,5,6, Katrina Turner7
1Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
患有妊娠糖尿病 (GDM) 的女性往往缺乏怀孕前知识,并因障碍而难以采取健康的行为. 改善GDM教育和有针对性的支持对于未来的怀孕至关重要.
科学领域:
- 生殖健康 生殖健康
- 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) 是一种常见的妊娠并发症.
- 了解女性的预先概念知识,风险感知和健康行为对于糖尿病预防计划至关重要.
- 关于女性对GDM风险因素和怀孕之间的行为观点的研究有限.
研究的目的:
- 探索女性对GDM风险因素的了解.
- 调查女性对GDM的看法.
- 检查患有GDM的女性的孕前健康行为.
主要方法:
- 对23名在妊娠第三季度被诊断患有GDM的妇女进行了单独的半结构面试.
- 数据分析采用模板分析,专注于预设知识,风险沟通,感知和行为.
- 患者和公众参与包括一个咨询小组在研究设计和材料开发.
主要成果:
- 妇女报告GDM的预先认识有限,经常在产前查期间了解它.
- 风险感知主要集中在体重/BMI上,对其他促成因素的认识较少.
- 怀孕前预期的健康行为变化 (饮食,体育活动) 很少因为时间,照顾,成本和缺乏明确指导等障碍而持续.
结论:
- 加强GDM查和诊断沟通,以使沟通清晰,支持和以人为中心.
- 实施适合个体需求的普遍预孕支持.
- 为患有先前GDM的妇女开发有针对性的怀孕间护理途径,以管理复发风险.
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