Development of a preventive hierarchical management model for patients with gestational diabetes mellitus
10.3760/cma.j.cn115682-20241103-05979
- VernacularTitle:妊娠糖尿病患者预防分级管理模式的构建
- Author:
Cunhao MA
1
;
Huimin GUAN
;
Leyang LIU
;
Weiwei LIU
Author Information
1. 首都医科大学护理学院，北京 100069
- Publication Type:Journal Article
- Keywords:
Gestational diabetes mellitus;
Prevention;
Hierarchical management;
Service model
- From:
Chinese Journal of Modern Nursing
2025;31(22):3036-3042
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop a preventive hierarchical management model for patients with gestational diabetes mellitus (GDM) .Methods:Guided by the Triangle Chronic Disease Stratified Management Model and the Health Action Process Approach (HAPA), the preliminary model was constructed through literature analysis and semi-structured interviews. From July to August 2023, two rounds of Delphi consultation were conducted with 20 experts to finalize the preventive hierarchical management model for patients with GDM.Results:The effective response rates for both rounds of expert consultation were 100.00% (20/20). The expert authority coefficients for the two rounds of inquiry were 0.93, and the Kendall's harmony coefficients were 0.197 and 0.234, respectively (both P<0.001). The final model consists of two components: stratified assessment criteria and stratified management measures, comprising seven first-level indicators, 10 second-level indicators, 14 third-level indicators, and 38 fourth-level indicators. Conclusions:The development process of the preventive hierarchical management model for patients with GDM was scientific and reliable. The model can serve as a reference for healthcare providers in implementing hierarchical preventive management for patients with GDM.
