Facilitators and impediments to postpartum glucose screening in patients with gestational diabetes mellitus based on a bidirectional perspective: a qualitative study
10.3760/cma.j.cn115682-20240726-04193
- VernacularTitle:基于双向视角的妊娠糖尿病患者产后血糖筛查促进和阻碍因素的质性研究
- Author:
Yufei XIE
1
;
Liping WU
;
Tao WEI
;
Dehui WANG
;
Li ZHANG
Author Information
1. 中国医学科学院北京协和医学院护理学院，北京 100144
- Publication Type:Journal Article
- Keywords:
Gestational diabetes mellitus;
Delivery women;
Glucose screening;
Qualitative study
- From:
Chinese Journal of Modern Nursing
2025;31(10):1300-1306
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the facilitators and impediments of postpartum glucose screening in patients with gestational diabetes mellitus (GDM) based on a bidirectional doctor-patient perspective to inform the development of clinical intervention strategies.Methods:This study was descriptive qualitative study. Sixteen patients with GDM who delivered in the Department of Obstetrics of Beijing Hospital from December 2023 to April 2024 and eight obstetricians and nurses were selected by purposive sampling for semi-structured interviews. Targeted content analysis was used to distill themes.Results:Facilitators were distilled into three sub-themes, including encouragement and support from family members and contemporaries, value placed on one's own health, and the driving role of disease severity. Three sub-themes were distilled from the impediments, which were personal factors of patients with GDM, lack of postpartum glucose screening guidance and follow-up by healthcare professionals, and incomplete system of specialty continuity services in healthcare institutions.Conclusions:Postpartum glucose screening in patients with GDM is complicated by a variety of facilitators and impediments, and postpartum health follow-up should be strengthened and basic medical facilities should be improved in order to increase the rate of postpartum glucose screening.
