Systematic review of qualitative studies on the decision dilemma of blood glucose management during pregnancy in patients with gestational diabetes mellitus
10.3760/cma.j.cn211501-20221011-03140
- VernacularTitle:妊娠期糖尿病患者孕期血糖管理决策困境质性研究的系统评价
- Author:
Yanmin LIU
1
;
Jie BIN
;
Jie SHAO
;
Jing LUO
Author Information
1. 湖南师范大学医学院，长沙 410006
- Keywords:
Qualitative research;
Diabetes, gestational;
Systematic review;
Pregnancy;
Blood glucose management;
Decision dilemma
- From:
Chinese Journal of Practical Nursing
2023;39(16):1256-1262
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the qualitative studies on the decision dilemma of blood glucose management during pregnancy in patients with gestational diabetes mellitus, so as to provide reference for the subsequent formulation of intervention strategies.Methods:The qualitative studies on the decision dilemma of blood glucose management during pregnancy in patients with gestational diabetes mellitus in the Cochrane Library, CINAHL, EMbase, PubMed, PsycINFO, ProQuest, Web of Science, China National Knowledge Internet, Wanfang, VIP and Chinese Biomedical Database were searched from inception to May 2022. The JBI Critical Appraisal Tool for qualitative studies in Australia (2016) was used to evaluate the literature quality, and research results were summarized and integrated by integrating methods.Results:A total of 13 studies were included, 56 themes were extracted, and they were summarized into 9 categories, forming 3 integrated results as following, lack of personalized and professional information on blood glucose management, worring about the influence of blood glucose management on the health of mothers and children, conflict between daily life and blood glucose management plan.Conclusions:Health care workers should provide gestational diabetes mellitus patients with adequate personalized professional information support on blood glucose management to facilitate scientific decision-making during pregnancy, and also analyze the benefits and risks of different decisions for patients to help them make the best decision and strengthen their external support system to help them implement blood glucose management decisions.
