[1]周英凤,黄娜,李丽,等.妊娠期糖尿病孕妇血糖管理决策困境的质性研究[J].军事护理,2022,39(01):9-12.[doi:10.3969/j.issn.1008-9993.2022.01.003]
　ZHOU Yingfeng,HUANG Na,LI Li,et al.The Decision Conflict of Blood Glucose Management among Pregnant Women with Gestational Diabetes Mellitus:A Qualitative Study[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(01):9-12.[doi:10.3969/j.issn.1008-9993.2022.01.003]
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妊娠期糖尿病孕妇血糖管理决策困境的质性研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年01期
页码:
9-12
栏目:
论著
出版日期:
2022-01-15

文章信息/Info

Title:
The Decision Conflict of Blood Glucose Management among Pregnant Women with Gestational Diabetes Mellitus:A Qualitative Study
文章编号:
1008-9993(2022)01-0009-04
作者:
周英凤1; 黄娜1; 李丽2; 方园1; 邢年路1; 朱佳蕾3; 赵敏慧4; 汪玲5
(1.复旦大学 护理学院,上海 200032; 2.复旦大学附属妇产科医院 产科,上海200090; 3.上海市嘉定区妇幼保健院 产科,上海201821; 4.同济大学附属第一妇婴保健院 产科,上海200040; 5.上海市浦东新区妇幼保健院 产科,上海201206)
Author(s):
ZHOU Yingfeng1; HUANG Na1; LI Li2;  FANG Yuan1; XING Nianlu1; ZHU Jialei3; ZHAO Minhui4; WANG Ling5
(1.School of Nursing,Fudan University,Shanghai 200032,China; 2.Department of Obstetrics,Obstetrics & Gynecology Hospital of Fudan University,Shanghai 200090,China; 3.Department of Obstetrics,Shanghai Jiading Maternal & Child Health Hospital,Shanghai 201821,China; 4.Department of Obstetrics,The First Maternal & Child Health Hospital of Tongji University,Shanghai 200040,China; 5.Department of Obstetrics,Shanghai Pudong Maternal & Child Health hospital,Shanghai 201206,China)
关键词:
妊娠期糖尿病;  血糖管理;  决策困境;  质性研究
Keywords:
Gestational diabetes mellitus;  blood glucose management;  decision conflict;  qualitative study
分类号:
R473.71
DOI:
10.3969/j.issn.1008-9993.2022.01.003
文献标志码:
A
摘要:
目的 了解妊娠期糖尿病孕妇在血糖管理过程中面临的决策困境,为促进孕妇良好的血糖管理决策提供支持。方法 采用目的抽样方法,选取2020年9-12月上海市4所医疗机构就诊的28名妊娠期糖尿病孕妇进行半结构式个人深度访谈。采用内容分析法分析资料并提炼主题。结果 妊娠期糖尿病孕妇在血糖管理过程中主要有三大决策困境,包括:信息来源广但专业化信息不足、信息内容多但个性化支持不足导致的信息困境; 难以兼顾血糖控制与妊娠安全、孕期营养导致的利弊权衡困境; 被动决策和参与决策之间矛盾导致的偏好困境。结论 产科专业人员应为妊娠期糖尿病孕妇提供多种途径、可操作性强的血糖管理信息,帮助其分析各种决策之间的利弊风险,提供充分的决策辅助,减少其决策困惑,提高孕妇在血糖管理中的主动决策意愿和决策能力。
Abstract:
Objective To understand the decision conflict of blood glucose management in pregnant women with gestational diabetes mellitus(GDM),in order to provide support for promoting good blood glucose management decision-making of pregnant women.Methods A purposive sampling method was used to select 28 pregnant women with GDM from 4 hospitals in Shanghai from September to December 2020,and an individual semi-structured in-depth interview was adopted to collect the data.Content analysis was used to analyze the interview data and refine the themes.Results Pregnant women with GDM had three major decision-making difficulties in the process of blood glucose management,including: Information dilemma caused by various information sources but insufficient professional information,many information contents but insufficient personalized support; Trade-off dilemma caused by blood glucose control,pregnancy safety and nutrition during pregnancy; Preference dilemma caused by the contradiction between passive decision-making and participatory decision-making.Conclusions Obstetric clinicians could provide individual and feasible information for GDM pregnant women through various ways,help them to balance the benefit and risk of decisions,and provide sufficient decision-making assistance,reduce their decision-making confusion,and improve pregnant women's willingness and ability of active decision-making in blood glucose management.

参考文献/References:

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-09-06 【 修回日期 】 2021-11-25
【 基金项目 】 2018年国家自然科学基金面上项目(71874035)
【 作者简介 】 周英凤,博士,副教授,研究方向:妇幼保健与循证护理
更新日期/Last Update: 2022-01-15