基于COM-B模型妊娠期糖尿病妇女产后自我管理促进与阻碍因素的Meta整合  

Promoting and hindering factors of postpartum self-management in women with gestational diabetes mellitus based on COM-B model:a Meta-synthesis

作　　者：邹蓝李 胡荣 李敏香 郭洪花 ZOU Lan-li;HU Rong;LI Min-xiang;GUO Hong-hua(International Nursing School,Hainan Medical University,Haikou 571199,China;Dept.Nursing Administration,the Second Affiliated Hospital of Hainan Medical University,Haikou 570311,China)

机构地区：[1]海南医科大学国际护理学院,海南海口571199 [2]海南医科大学第二附属医院护理部,海南海口570311

出　　处：《护理学报》2024年第12期41-47,共7页Journal of Nursing（China）

基　　金：海南省科技专项资助(ZDYF2022SHFZ083);2022年海南医学院研究生创新科研课题B类项目(HYYS2022B04)。

摘　　要：目的基于能力、机会、动机-行为模型(capability,opportunity,and motivation-behavior,COM-B),探讨妊娠期糖尿病(gestational diabetes mellitus,GDM)妇女产后自我管理行为的促进与阻碍因素。方法系统检索中国知网、万方、维普、SinoMed、Embase、PubMed、Web of Science、Ovid等数据库,年限为建库至2023年2月。采用JBI循证卫生保健中心质性研究质量评价标准进行文献评价,应用Meta整合的方法进行整合。结果共纳入17篇文献,提炼出17个结果,归纳形成6个类别,得到3个整合结果:影响GDM产后自我管理行为的能力层面、影响GDM产后自我管理行为的机会层面、影响GDM产后自我管行为理的动机层面。结论应充分宣教产后自我管理知识;倡导医院多学科合作并与家庭、社区及社会力量联动,关注GDM妇女产后压力与不良情绪,完善随访模式,提高GDM妇女产后自我管理水平。Objective To explore the promoting and hindering factors of postpartum self-management behavior in women with gestational diabetes mellitus(GDM)based on COM-B model.Methods We searched databases of CNKI,WanFang,VIP,SinoMed Embase,PubMed,Web of science,and Ovid,with the retrieval period spanning from the inception to February,2023.The quality evaluation criteria of JBI evidence-based health care center were used for literature evaluation,and meta-synthesis was applied for literature integration.Results Totally 17 pieces of literature were included,and 17 results were extracted,which were summarized into 6 categories.Three integration results were obtained:the ability level influencing postpartum self-management behavior of GDM,the opportunity level influencing postpartum self-management behavior of GDM,and the motivation level affecting post-partum self-management behavior of GDM.Conclusion It is important to fully educate postpartum women with GDM about self-management knowledge.Advocacy for multidisciplinary collaboration in hospitals,along with collaboration with families,communities,and social support networks should be promoted.Attention should be given to postpartum stress and negative emotions experienced by women with GDM.Follow-up models should be improved to enhance the postpartum self-management of women with GDM.

关 键 词：妊娠期糖尿病 产后 自我管理 质性研究 Meta整合 

分 类 号：R473.71[医药卫生—护理学]