妊娠期糖尿病孕妇患病体验及认知的质性研究

摘要

目的 了解妊娠期糖尿病(GDM)孕妇确诊后的心理体验和对妊娠期糖尿病的认知,为设计和实施有针对性的健康管理提供依据.方法 采用质性研究中的现象学研究方法,对10例GDM孕妇进行半结构访谈、录音,并转录访谈资料进行整理分析.结果 GDM孕妇确诊后的心理体验和对GDM的认知包括对GDM的概念和不良风险认识模糊,患病体验包括怀疑、无所谓、担心和希望4个主题.结论 GDM孕妇对疾病知识及不良风险认识和患病体验,说明目前GDM管理现状不理想,医务人员应关注GDM孕妇的健康需求,进一步做好GDM孕妇的健康管理工作.%Objective To investigate the psychological experience and diabetic understanding of pregnant women with gestational diabetes mellitus (GDM),so as to provide evidence for targeted health management.Methods Phenomenological research methods were conducted and 10 pregnant women with GDM were semi-structurally interviewed.Results The pregnant women diagnosed with GDM were uncertain about the concept and risk of GDM,while their psychological experience included doubt,carelessness,anxiousness and hope.Conclusion The psychological experience and diabetic understanding of pregnant women with GDM shows that the current management for GDM is not satisfied.Medical staff should pay more attention to the health needs of pregnant women with GDM and improve the health management of pregnant women with GDM.