妊娠期糖尿病患者自我管理体验质性研究的Meta整合

doi:10.16460/j.issn1008-9969.2020.21.001

摘要/Abstract

摘要： 目的系统整合患者在妊娠期糖尿病自我管理过程中的体验。方法检索中国知网（CNKI）、万方（WanFang）、维普（VIP）、中国生物医学文献数据库（CBM）、Web of Science、PubMed、The Cochrane Library等数据库,纳入自建库至2020年3月符合纳入标准的妊娠期糖尿病自我管理体验的质性研究,通过JBI循证卫生保健中心质性研究质量评价标准评价文献质量,使用Meta整合方法对文献进行整合、分析。结果共纳入12篇文献,提炼出45个研究结果,归纳为16个类别,形成3个整合结果：诊断后的反应、自我管理中的问题、逐渐适应的原因。结论妊娠期糖尿病患者从确诊到分娩前的自我管理存在来自自身、家庭、社会等方面的阻碍因素。在家庭社会方面,需提高家庭及社会成员对患者及疾病的关注和重视,支持和监督患者的管理。医护人员则应了解患者的心理状态和困惑,为不同患者提供个性化的随访和指导方案。

关键词: 妊娠期糖尿病, 自我管理, 体验, 质性研究, Meta整合

Abstract: Objective To systematically integrate self-management experience of patients with gestational diabetes mellitus (GDM). Methods We searched CNKI, Wanfang, Vip databases, China Biomedical Bibliographic databases (CBM), Web of Science, PubMed and the Cochrane Library from the inception to March 2020, to include qualitative studies on self-management experience of patients with GDM. The quality of the literature was evaluated by the quality evaluation standard of qualitative research of the JBI Evidence-Based Health Care Center. Meta-integration method was used to integrate and analyze the literature. Results A total of 12 articles were included and 45 research results were summarized into 16 categories, forming 3 integrated results: post-diagnosis response, problems in self-management, and reasons for gradual adaptation. Conclusion Patients with GDM have obstacles in self-management coming from themselves, family, society and other aspects during pregnancy. It is necessary for family and social members to pay more attention to patients and the diseases, and to support and supervise the management of patients. Medical staff should understand the mental state and confusion of patients, and provide personalized follow-up and guidance for different patients.

Key words: gestational diabetes, self-management, experience, qualitative research, Meta-synthesis

中图分类号:

R473.71

熊思敏, 聂蓉. 妊娠期糖尿病患者自我管理体验质性研究的Meta整合[J]. 护理学报, 2020, 27(21): 1-6.

XIONG Si-min, NIE Rong. Self-management Experience of Patients with Gestational Diabetes Mellitus：A Qualitative Meta-synthesis[J]. Journal of Nursing, 2020, 27(21): 1-6.

参考文献

[1] 章孟星,周英凤,钟婕,等.妊娠期糖尿病临床护理实践指南的整合研究[J].中华护理杂志,2019,54(1):104-113. DOI:10.3761/j.issn.0254-1769.2019.01.022.
[2] 李雪. 基于健康信念模式的妊娠期糖尿病患者自我管理行为影响因素分析[D].青岛:山东大学,2016.
[3] 胡雁. 循证护理学[M].北京:人民卫生出版社,2012:130-141.
[4] Lockwood C, Munn Z, Porritt K.Qualitative Research Synthesis: Methodol-ogical Guidance for Systematic Reviewers Utilizing Meta-aggregation[J]. Int J Evid Based Healthc,2015,13(3):179-187.DOI:10.1097/XEB.0000000000000062.
[5] Carolan M,Gill GK, Steele C. Women's Experiences of Factors That Facil-itate or Inhibit Gestational Diabetes Self-management[J].BMC Pregnancy Childbirth,2012,12:99. DOI10.1186/1471-2393-12-99.
[6] Figueroa Gray M, Hsu C, Kiel L, et al.“It's A Very Big Burden on Me”:Women's Experiences Using Insulin for Gestational Diabetes[J]. Matern Child Health J, 2017,21(8):1678-1685. DOI:10.1007/s10995-017-2261-8.
[7] Jirojwong S, Brownhill S, Dahlen HG, et al.Going up, Going down: the Experience, Control and Management of Gestational Diabetes Mellitus Among Southeast Asian Migrant Women Living in Urban Australia[J]. Health Promot J Austr,2017,28(2):123-131. DOI:10.1071/HE15130.
[8] Hui AL, Sevenhuysen G, Harvey D, et al.Barriers and Coping Strategies of Women with Gestational Diabetes to Follow Dietary Advice[J]. Women Birth,2014,27(4):292-297. DOI:10.1016/j.wombi.2014.07.001.
[9] 王娜,丁焱.妊娠期糖尿病孕妇疾病自我管理体验的质性研究[J].护理学杂志,2014,29(14):16-19. DOI:10.3870/hlxzz.2014.14.016.
[10] Wah YYE, McGill M, Wong J, et al. Self-management of Gestational Di-abetes among Chinese Migrants: A Qualitative Study[J]. Women Birth,2019,32(1):e17-e23. DOI:10.1016/j.wombi.2018.03.001.
[11] Mensah GP, van Rooyen DRM, Ten Ham-Baloyi W. Nursing Management of Gestational Diabetes Mellitus in Ghana: Perspectives of Nurse-midwives and Women[J]. Midwifery,2019,71:19-26. DOI:10.1016/j.midw.2019.01.002.
[12] de Sequeira S, Halperin I, Lipscombe LL. Culturally Tailored Resources for South Asian Immigrant Women with Gestational Diabetes: Do They Work and What's Missing A Qualitative Study[J]. Can J Diabetes,2019,43(8):573-579. DOI:10.1016/j.jcjd.2019.09.007.
[13] Martis R, Brown J, McAra-Couper J, et al. Enablers and Barriers for Women with Gestational Diabetes Mellitus to Achieve Optimal Glycaemic Control-A Qualitative Study Using the Theoretical Domains Framework[J]. BMC Pregnancy Childbirth,2018,18(1):91. DOI:10.1186/s12884-018-1710-8.
[14] Yee LM, McGuire JM, Taylor SM, et al. Factors Promoting Diabetes Self-care among Low-income, Minority Pregnant Women[J]. J Perinatol,2016,36(1):13-18. DOI:10.1038/jp.2015.134.
[15] 宋欢,高明霞,柳韦华.妊娠期糖尿病病人围生期真实体验的质性研究[J].全科护理,2016,14(24):2564-2566. DOI:10.3969/j.issn.1674-4748.2016.24.040.
[16] Li G, Wikby K, Rask M, et al.‘Is Gestational Diabetes A Severe Illness?' Exploring Beliefs and Self-care Behavior among Women with Gestational Diabetes Living in A Rural Area of the South East of China[J]. Aust J Rural Health, 2016,24(6):378-384. DOI:10.1111/ajr.12292.
[17] 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版)[J].中国实用内科杂志,2018, 38(4):292-344. DOI:10.19538/j.nk2018040108.
[18] 高莲莲,陶静,黄丽红,等. 妊娠期糖尿病患者医学营养治疗教育与执行现状及其影响因素分析[J].护理学报,2017,24(23):49-52.DOI:10.16460/j.issn1008-9969.2017.23.049.
[19] 黎静,陈伟菊,黄东喜,等.93例孕28周前妊娠期糖尿病患者自我管理现状及影响因素分析[J].护理学报,2018,25(6):37-40.DOI:10.16460/j.issn1008-9969.2018.06.037.
[20] 钟婕,周英凤,李丽,等.妊娠期糖尿病孕妇心理弹性现况及影响因素研究[J].护理学杂志,2019,34(4):74-78. DOI:10. 3870 /j.issn.1001-4152.2019.04.074.

相关文章 15

[1]	李疆伟, 王树君, 李长仔, 胡宝山, 焦桂梅, 张卫红. 基于压力应对理论的护理干预对结直肠癌术后永久性肠造口患者心理压力、负性情绪及自我管理的影响[J]. 护理学报, 2025, 32(4): 64-69.
[2]	吴超瑜, 刘尚昆. 麻醉恢复室护士危机管理能力的质性研究[J]. 护理学报, 2025, 32(3): 17-21.
[3]	谭雯渲, 张容, 张立力, 王玮, 邵艳红, 方庆虹, 朱瑾. 心脏移植患者手术决策困境的现象学研究[J]. 护理学报, 2025, 32(3): 69-73.
[4]	杨蓓, 叶红芳, 张宁, 相卢伟, 路诗雨. 老年2型糖尿病患者体力活动现状及影响因素研究[J]. 护理学报, 2025, 32(2): 7-12.
[5]	曹敏, 张培莉, 侯晓雅, 高超越, 郭林芳, 李滢. ABC-X模型下结直肠癌化疗患者照顾者营养照护体验的质性研究[J]. 护理学报, 2025, 32(2): 13-18.
[6]	孙娟, 李亚莉, 马安娜, 王华, 张会敏. 护理研究生对社区护理实践思政教学体验的质性研究[J]. 护理学报, 2025, 32(1): 19-23.
[7]	陈燕华, 冯梅, 胡佩欣. 粤港联合个案管理师临床实践培训体验的质性研究[J]. 护理学报, 2025, 32(1): 24-28.
[8]	王语, 赵慧杰, 肖梦伟, 范硕宁, 孙佳丽, 王珂心, 苏炫, 杨滢瑞. 糖尿病视网膜病变患者硅油填充期间疾病体验与应对的质性研究[J]. 护理学报, 2025, 32(1): 68-72.
[9]	叶香, 黎楷, 黄敏, 张倩, 李际敏, 刘荣珍, 孟敏, 朱少玉, 谢翠华. 对成年2型糖尿病患者基于移动APP+家属共管血糖的研究[J]. 护理学报, 2024, 31(9): 60-65.
[10]	冯春玲, 胡夏晴, 徐琳, 蔡鑫健, 徐琴鸿. 基于社会生态系统理论的电话指导公众实施心肺复苏行为动机及需求的质性研究[J]. 护理学报, 2024, 31(9): 66-71.
[11]	曹依丽, 王玲, 王灿, 陈燕华, 秦虹云. 精神分裂症住院患者家属资源取向的质性研究[J]. 护理学报, 2024, 31(8): 74-78.
[12]	马瑞瑞, 范晓莉, 徐姝娟, 张伟, 陈婷, 谈飞飞. 护士参与终末期患者临终决策体验的质性研究[J]. 护理学报, 2024, 31(7): 6-11.
[13]	龙瑶, 卢春凤, 冯志仙. 临床护士对横向领导者特质感知的质性研究[J]. 护理学报, 2024, 31(7): 27-31.
[14]	张颖, 车晓艳, 万婠, 秦雪, 张恩思, 崇武, 郑淑娟. 我国性治疗护士工作范畴和核心能力的质性研究[J]. 护理学报, 2024, 31(7): 68-72.
[15]	李爱群, 李利花, 王芳, 蒋源元, 蔡益民. 慢性病资源利用在冠心病PCI术后患者自我超越与自我管理行为间的中介效应[J]. 护理学报, 2024, 31(6): 13-17.

Metrics

Viewed

Full text

Abstract

Cited

Shared