妊娠期糖尿病患者疾病体验质性研究的Meta整合

doi:10.3761/j.issn.1672-9234.2023.06.015

Abstract

Abstract:

Objective To systematically review the disease experience of patients with gestational diabetes mellitus（GDM）. Methods Databases were searched for the qualitative research on the disease experience of patients with gestational diabetes，including PubMed，Web of Science，Embase，The Cochrane Library，SinoMed，CNKI，Wanfang and VIP. The retrieval time was set from the establishment of the database to December 2022. The quality evaluation was carried out by the quality evaluation standard of qualitative research of Australian JBI evidence-based health care center in 2016，and the results were integrated by the Meta-integration method. Results A total of 13 studies involving 263 patients were included，and 45 topics were refined into eight new categories and three integrated results：the patients experienced the threat of disease and adapted actively；patients felt the challenges of coping with the disease；patients perceived that social support was not yet sufficient. Conclusion GDM patients experience negative emotions during illness and face many challenges，but can achieve an adaptive state after adjustment. Medical staff should provide adequate social support for patients，improve their quality of life，and ensure the safety of mothers and infants.

Key words: Diabetes，Gestational, Qualitative Research, Disease experience, Systematic evaluation

YAO Zheng,MAO Dongmei,ZHANG Lili,LIU Yijun,CHEN Shiyi,DENG Lanxin,YANG Zhihui. The experience of patient with gestational diabetes mellitus：a meta-integration of qualitative studies[J].Chinese Journal of Nursing Education, 2023, 20(6): 720-726.

Figures/Tables 2

References 25

[1]	Association AD.2. Classification and diagnosis of diabetes:stan-dards of medical care in diabetes-2020[J]. Diabetes Care, 2020, 43(Suppl 1):S14-S31. doi: 10.2337/dc20-S002
[2]	International Diabetes Federation,IDF Diabetes Atlas,9th ed[R]. 2019.
[3]	Gao CH, Sun X, Lu L, et al. Prevalence of gestational diabetes mellitus in mainland China:a systematic review and meta-analysis[J]. J Diabetes Investig, 2019, 10(1):154-162. doi: 10.1111/jdi.2019.10.issue-1
[4]	张艳, 梅春丽, 杨延军. 循证护理在妊娠糖尿病患者中的应用效果[J]. 解放军护理杂志, 2016, 33(13):56-58.
[5]	World Diabetes Foundation, Global Alliance for Women’s Health. Diabetes,women,and development:meeting summary,expert recommendations for policy action,conclusions,and follow-up actions[J]. Int J Gynaecol Obstet, 2009, 104(Suppl 1):S46-S50. doi: 10.1016/j.ijgo.2008.11.014
[6]	Ghaffari F, Salsali M, Rahnavard Z, et al. Compliance with treat-ment regimen in women with gestational diabetes:living with fear[J]. Iran J Nurs Midwifery Res, 2014, 19(7 Suppl 1):S103-S111. pmid: 25949244
[7]	Saha S. Compliance and barriers to self-monitoring of blood glucose in patients with gestational diabetes mellitus:a systematic review[J]. Int J Health Sci (Qassim), 2019, 13(3):44-52.
[8]	The Joanna Briggs Institute. JBI critical appraisal checklist for qualitative research[S]. 2016.
[9]	胡雁. 循证护理学[M]. 北京: 人民卫生出版社, 2012.
[10]	Dayyani I, Terkildsen Maindal H, Rowlands G, et al. A qualitative study about the experiences of ethnic minority pregnant women with gestational diabetes[J]. Scand J Caring Sci, 2019, 33(3):621-631. doi: 10.1111/scs.12655 pmid: 30653703
[11]	Kragelund Nielsen K, Vildekilde T, Kapur A, et al. “If I don’t eat enough,I won’t be healthy”. women’s experiences with gestational diabetes mellitus treatment in rural and urban south India[J]. Int J Environ Res Public Health, 2020, 17(9):3062. doi: 10.3390/ijerph17093062
[12]	Ge L, Wikby K, Rask M. Lived experience of women with gestational diabetes mellitus living in China:a qualitative interview study[J]. BMJ Open, 2017, 7(11):e017648. doi: 10.1136/bmjopen-2017-017648
[13]	Carolan-Olah M, Duarte-Gardea M, Lechuga J, et al. The experience of gestational diabetes mellitus (GDM) among His-panic women in a U.S. border region[J]. Sex Reprod Healthc, 2017, 12:16-23. doi: S1877-5756(16)30208-7 pmid: 28477926
[14]	Hirst JE, Tran TS, Do MA, et al. Women with gestational diabetes in Vietnam:a qualitative study to determine attitudes and health behaviours[J]. BMC Pregnancy Childbirth, 2012, 12:81. doi: 10.1186/1471-2393-12-81
[15]	Ge L, Wikby K, Rask M. ‘Is gestational diabetes a severe illness?’ exploring beliefs and self-care behaviour 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.2016.24.issue-6
[16]	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
[17]	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
[18]	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 liv-ing in urban Australia[J]. Health Promot J Austr, 2017, 28(2):123-131. doi: 10.1071/HE15130
[19]	Wah YYE, McGill M, Wong J, et al. Self-management of gestational diabetes among Chinese migrants:a qualitative study[J]. Women Birth, 2019, 32(1):e17-e23. doi: 10.1016/j.wombi.2018.03.001
[20]	杨夫艳, 胡怀宁, 冯文. 妊娠期糖尿病孕妇患病体验及认知的质性研究[J]. 徐州医学院学报, 2017, 37(7):483-485.
	Yang FY, Hu HN, Feng W. A qualitative study on the experience and diabetic understanding of pregnant women with gestational diabetes mellitus[J]. Acta Acad Med Xuzhou, 2017, 37(7):483-485.
[21]	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.
	Song H, Gao MX, Liu WH. Qualitative study on the real experience of gestational diabetes mellitus patients during perinatal period[J]. Chin Gen Pract Nurs, 2016, 14(24):2564-2566.
[22]	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.
	Wang N, Ding Y. A qualitative study on self-management of women with gestational diabetes mellitus[J]. J Nurs Sci, 2014, 29(14):16-19.
[23]	Levy RL. Social support and compliance:a selective review and critique of treatment integrity and outcome measurement[J]. Soc Sci Med, 1983, 17(18):1329-1338. pmid: 6359450
[24]	肖水源. 《社会支持评定量表》的理论基础与研究应用[J]. 临床精神医学杂志, 1994, 4(2):98-100.
[25]	Butler M, McCreedy E, Schwer N, et al. Improving cultural com-petence to reduce health Disparities[M]. Rockville(MD): Agency for Healthcare Research and Quality (US), 2016.

The experience of patient with gestational diabetes mellitus：a meta-integration of qualitative studies

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 2

References 25

Related Articles 15

Metrics

Comments

Recommended 10

[1]	LIU Ting, YANG Fuguo, YANG Li, YANG Xiuling, HAN Jing, WANG Aimin. A descriptive qualitative study on the experience of using artificial intelligence generated content tools among nursing postgraduate students [J]. Chinese Journal of Nursing Education, 2024, 21(9): 1046-1051.
[2]	ZHAO Wenjuan, ZHANG Xiaoju, LAI Xiaobin, SHEN Zhiyun, ZHANG Yuxia. The lived experience of specialty nurses with full-time posts during their role transitions：a qualitative study [J]. Chinese Journal of Nursing Education, 2024, 21(7): 788-793.
[3]	LI Xiaohua, ZHU Hong, YANG Dan, HAO Yufang, LI Xuejing. The influence of role modeling on nursing students’ professional identity：a meta-synthesis of qualitative studies [J]. Chinese Journal of Nursing Education, 2024, 21(7): 841-848.
[4]	HAO Linbo, ZHAO Qinghua, HUANG Huanhuan, CHEN Lijuan. A qualitative study on medication experience of older patients with polypharmacy during hospital-family transition period [J]. Chinese Journal of Nursing Education, 2024, 21(7): 866-872.
[5]	ZHU Xiaoling, CHEN Shaohua, LIN Binbin, WANG Xiaoyan, XU Guiru, XU Qin, QIU Pingping, LIN Xiaoyun, SONG Jihong. The learning experience of undergraduates participating in the Midwifery Comprehensive Experiment course based on situational simulation teaching [J]. Chinese Journal of Nursing Education, 2024, 21(5): 562-568.
[6]	WANG Yuqing, SUN Xuhan, ZHANG Yuxi. The experience of nursing staffs in narrative nursing：a meta-synthesis of qualitative research [J]. Chinese Journal of Nursing Education, 2024, 21(4): 466-472.
[7]	ZHOU Wenlu, SHI Wen, WANG Junjie, WANG Rui. High-fidelity simulation teaching experience of undergraduate nursing students：a meta synthesis of qualitative studies [J]. Chinese Journal of Nursing Education, 2024, 21(3): 289-294.
[8]	WANG Rui, SUI Hongping, LI Tingting, JIANG Tongtong, XIA Yunlong, SHI Tieying. The stigma experience of lung cancer patients：a meta-synthesis of qualitative studies [J]. Chinese Journal of Nursing Education, 2024, 21(2): 231-236.
[9]	WANG Meng, ZHANG Xiaoqing, LI Jiaxin, WAN Yinglu. Meta synthesis of qualitative studies on cancer risk perception in first-degree relatives of breast cancer patients [J]. Chinese Journal of Nursing Education, 2024, 21(1): 104-109.
[10]	HOU Kunhua, BAI Wenhui, LI Qianqian, TIAN Yajie, WANG Meijie, CHANG Shuying, MA Lingcao, LIU Weihua. The experiences of nursing students after patient death in clinical practice：a meta-synthesis of qualitative research studies [J]. Chinese Journal of Nursing Education, 2023, 20(9): 1077-1083.
[11]	SUN Yueping, ZHOU Rong, MENG Liping, GUO Yaqiong, ZHANG Caihong, GUO Honghua. Factors that promote and hinder clinical practice of structured education in gestational diabetes mellitus [J]. Chinese Journal of Nursing Education, 2023, 20(9): 1100-1106.
[12]	QIAN Zhan, LIN Jinmin, YANG Xiaoting, ZHU Hui. Experience of children and adolescents with cancer returning to school：a qualitative Meta-synthesis [J]. Chinese Journal of Nursing Education, 2023, 20(8): 974-980.
[13]	WU Huiling, LI Weitao, WU Liping. Family support content of women with fetal abnormalities during induction of labor：a qualitative study [J]. Chinese Journal of Nursing Education, 2023, 20(6): 716-719.
[14]	ZHANG Xiaoming,XU Yihong,PAN Hongying,ZHANG Rongrong,LIU Minjun,QIAO Shina,WU Lili. Meta-synthesis of qualitative research on maternal labor pain experience [J]. Chinese Journal of Nursing Education, 2023, 20(6): 727-733.
[15]	WANG Bingyao, FU Guanglei, YANG Ying, XU Huaxiu, XIAO Chunye, TAN Jielin. Meta-synthesis of qualitative studies on the experience of cancer patients using mobile health tools [J]. Chinese Journal of Nursing Education, 2023, 20(5): 599-606.