ISSN 2097-6054(网络) ISSN 1672-9234(印刷) CN 11-5289/R
主管:中国科学技术协会 主办:中华护理学会
出版:中华护理杂志社
收录:中国科学引文数据库(CSCD)来源期刊
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   中国核心期刊(遴选)数据库
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健康教育与健康促进

高龄妊娠期糖尿病孕妇血糖自我管理特征识别与分类研究

  • 黄豆豆 ,
  • 姚彦蓉 ,
  • 马世林 ,
  • 张广意 ,
  • 杨令娟 ,
  • 米光丽 ,
  • 刘风景
展开
  • 750000 银川市 宁夏医科大学护理学院(黄豆豆,马世林,杨令娟,米光丽,刘风景);宁夏医科大学总医院(姚彦蓉),,北京大学第一医院宁夏妇女儿童医院产科(张广意)
黄豆豆,女,本科(硕士在读),护士,E-mail:huangdoudou_1999@yeah.net

收稿日期: 2024-09-20

  网络出版日期: 2025-04-16

基金资助

宁夏回族自治区科技惠民计划专项课题(2022CMG-03014);宁夏回族自治区卫生健康系统科研课题(2021-NW-043)

Identification and classification of blood glucose self-management characteristics in advanced maternal age women with gestational diabetes mellitus:a qualitative user profiling study

  • Doudou HUANG ,
  • Yanrong YAO ,
  • Shilin MA ,
  • Guangyi ZHANG ,
  • Lingjuan YANG ,
  • Guangli MI ,
  • Fengjing LIU
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Received date: 2024-09-20

  Online published: 2025-04-16

摘要

目的 基于用户画像探讨高龄妊娠期糖尿病孕妇血糖自我管理特征,为后续精准干预提供参考。方法 以目的抽样法选取25例高龄妊娠期糖尿病孕妇进行半结构化访谈,通过描述性质性研究法分析访谈资料,人工抽取高龄妊娠期糖尿病孕妇血糖自我管理画像标签,并以可视化标签形式呈现不同群体特征。结果 从社会人口学特征、认知特征、行为特征综合分析得到高龄妊娠期糖尿病孕妇血糖自我管理分为3种类型:自觉自制型、自我掩饰型、历史自信型。结论 高龄妊娠期糖尿病孕妇妊娠期间的血糖自我管理特征存在差异,临床为高龄妊娠期糖尿病孕妇提供科学精准的血糖管理时,应考虑不同人群的典型特征。

本文引用格式

黄豆豆 , 姚彦蓉 , 马世林 , 张广意 , 杨令娟 , 米光丽 , 刘风景 . 高龄妊娠期糖尿病孕妇血糖自我管理特征识别与分类研究[J]. 中华护理教育, 2025 , 22(4) : 464 -470 . DOI: 10.3761/j.issn.1672-9234.2025.04.014

Abstract

Objective To explore the characteristics of blood sugar self-management groups among advanced maternal age women with gestational diabetes based on user portraits,and to provide references for subsequent precise intervention.Methods A total of 25 advanced maternal age women diagnosed with gestational diabetes were selected for semi-structured interviews. Qualitative descriptive methodology was employed to analyze the interview data,and the glucose self-management profiles of advanced maternal age women with gestational diabetes were manually extracted and visually presented in tag form to illustrate the characteristics of different groups.Results From the three characteristics of sociodemographic characteristics,cognitive characteristics and behavioral characteristics,three types of blood glucose self-management user portraits of advanced maternal age women with gestational diabetes mellitus were summarized:self-self-control,self-concealment,and historical self-confidence.Conclusion There are significant differences in the glycemic self-management characteristics of pregnant women with gestational diabetes mellitus of advanced age during pregnancy,and providing scientific and accurate glycemic management for pregnant women with gestational diabetes mellitus of advanced age in the clinic should take into account the typical characteristics of different groups.

参考文献

[1] Sweeting A, Hannah W, Backman H, et al. Epidemiology and management of gestational diabetes[J]. Lancet, 2024, 404(10448):175-192.
[2] International Diabetes Federation. IDF Diabetes Atlas 2021[EB/OL].[2024-09-20]. https://diabetesatlas.org/atlas/tenth-edition/.
[3] Zhang T, Tian ML, Zhang P, et al. Risk of adverse pregnancy outcomes in pregnant women with gestational diabetes mellitus by age:a multicentric cohort study in Hebei,China[J]. Sci Rep, 2024, 14(1):807.
[4] Esposito G, Mauri PA, Cipriani S, et al. The role of maternal age on the risk of preterm birth among singletons and multi-ples:a retrospective cohort study in Lombardy,Norther Italy[J]. BMC Pregnancy Childbirth, 2022, 22(1):234.
[5] Zhang XH, Chen LJ, Wang XM, et al. Changes in maternal age and prevalence of congenital anomalies during the enactment of China’s universal two-child policy(2013-2017) in Zhejiang Province,China:an observational study[J]. PLoS Med, 2020, 17(2):e1003047.
[6] Moon JH, Jang HC. Gestational diabetes mellitus:diagnostic approaches and maternal-offspring complications[J]. Diabetes Metab J, 2022, 46(1):3-14.
[7] 杜世正, 袁长蓉. 自我管理模式的研究实践进展及思考[J]. 中华护理杂志, 2009, 44(11):1048-1051.
[7] Du SZ, Yuan CR. Research progress and thinking on self-management model[J]. Chin J Nurs, 2009, 44(11):1048-1051.
[8] Zhao MX, Li HX, Wang J, et al. The effectiveness of moti-vation-guided PDCA cycle nursing for self-management ability and outcomes of patients with gestational diabetes mellitus[J]. Nurs Open, 2023, 10(9):6509-6516.
[9] Xu N, Han X, Chen SJ, et al. Self-reported barriers in self-ma-nagement of women with gestational diabetes:a systematic review of qualitative studies[J]. Nurs Open, 2023, 10(11):7130-7143.
[10] Cooper A. About face 3:the essentials of interaction design[J]. New Jersey, 2007:19-22.
[11] 李心钰, 张男, 宋美璇, 等. 化疗期乳腺癌患者体质量管理的用户画像研究[J]. 护理学杂志, 2022, 37(18):33-36.
[11] Li XY, Zhang N, Song MX, et al. The user persona of weight management among breast cancer patients during chemothe-rapy[J]. J Nurs Sci, 2022, 37(18):33-36.
[12] Li SJ, Tang YC. A simple framework of smart geriatric nurs-ing considering health big data and user profile[J]. Comput Math Methods Med, 2020, 2020:5013249.
[13] 杨慧霞. 妊娠合并糖尿病:临床实践指南[M]. 2版. 北京: 人民卫生出版社, 2013.
[14] 宋美琦, 陈烨, 张瑞. 用户画像研究述评[J]. 情报科学, 2019, 37(4):171-177.
[14] Song MQ, Chen Y, Zhang R. A review of user profile research[J]. Inf Sci, 2019, 37(4):171-177.
[15] 季梦婷, 杨艳. 描述性质性研究方法学的综述[J]. 解放军护理杂志, 2018, 35(11):32-35.
[15] Ji MT, Yang Y. A summary of descriptive research methodo-logy[J]. Nurs J Chin PLA, 2018, 35(11):32-35.
[16] 刘均娥, 王莹, 孙柳. 质性研究护理论文的撰写与质量评价[J]. 中华护理杂志, 2024, 59(3):276-280.
[16] Liu JE, Wang Y, Sun L. Writing and quality evaluation of qua-litative research papers in nursing[J]. Chin J Nurs, 2024, 59(3):276-280.
[17] 刘风景, 张广意, 米光丽, 等. 妊娠期妇女体质量自我管理的定性用户画像研究[J]. 护理学杂志, 2023, 38(16):23-27.
[17] Liu FJ, Zhang GY, Mi GL, et al. Weight self-management in pregnant women:a qualitative user persona study[J]. J Nurs Sci, 2023, 38(16):23-27.
[18] 蒋维连, 黄宪丽, 李赛花, 等. 妊娠期糖尿病孕妇健康促进行为成因的质性研究[J]. 护理学杂志, 2020, 35(12):20-22.
[18] Jiang WL, Huang XL, Li SH, et al. Qualitative study on the causes of health promotion behaviors in pregnant women with gestational diabetes[J]. J Nurs Sci, 2020, 35(12):20-22.
[19] OuYang H, Bo C, Abdulrahman AM, et al. Associations between gestational diabetes and anxiety or depression:a systematic review[J]. J Diabetes Res, 2021, 2021:9959779.
[20] 田瑞雪, 邹智杰, 吴圆圆, 等. 妊娠期糖尿病孕妇心理痛苦体验的质性研究[J]. 护理学杂志, 2023, 38(24):80-83.
[20] Tian RX, Zou ZJ, Wu YY, et al. Experience of psychological distress in pregnant women with gestational diabetes melli-tus:a qualitative study[J]. J Nurs Sci, 2023, 38(24):80-83.
[21] 石秀林, 李学军. 结合厦门市孕妇及儿童出生登记系统研究看妊娠期糖尿病的管理现状及对策探讨[J]. 中华糖尿病杂志, 2024, 16(11):1171-1176.
[21] Shi XL, Li XJ. Based on the study of birth registration system of pregnant women and children in Xiamen,the management status and countermeasures of gestational diabetes mellitus are discussed[J]. Chin J Diabetes Mellit, 2024, 16(11):1171-1176.
[22] Ge L, Wikby K, Rask M. Lived experience of women with ges-tational diabetes mellitus living in China:a qualitative interview study[J]. BMJ Open, 2017, 7(11):e017648.
[23] 周英凤, 黄娜, 李丽, 等. 妊娠期糖尿病非药物管理患者指南的构建思路与方法[J]. 护理研究, 2021, 35(15):2749-2752.
[23] Zhou YF, Huang N, Li L, et al. A protocol of guideline for patient involvement in non-pharmacological management for gestational diabetes mellitus[J]. Chin Nurs Res, 2021, 35(15):2749-2752.
[24] 中华医学会糖尿病学分会. 中国血糖监测临床应用指南(2021年版)[J]. 中华糖尿病杂志, 2021, 13(10):936-48.
[25] Mussa J, Rahme E, Dahhou M, et al. Incident diabetes in wo-men with patterns of gestational diabetes occurrences across 2 pregnancies[J]. JAMA Netw Open, 2024, 7(5):e2410279.
[26] 盖莹, 李唱, 张继敏, 等. 妊娠期糖尿病产妇产后随访清单的构建与应用[J]. 中华护理教育, 2024, 21(4):389-396.
[26] Gai Y, Li C, Zhang JM, et al. Construction and application of a postpartum follow-up checklist for gestational diabetes mellitus[J]. Chin J Nurs Educ, 2024, 21(4):389-396.
[27] Hussain T, Das S, Parveen F, et al. Prevalence,risk factors and morbidities of gestational diabetes among pregnant women attending a hospital in an urban area of Bhubaneswar,Odisha[J]. J Family Med Prim Care, 2020, 9(10):5327-5333.
[28] 邢年路, 周英凤, 陈姝宇, 等. 妊娠期糖尿病非药物管理患者指南[J]. 中华护理杂志, 2024, 59(6):662-668.
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