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  

Facilitators and impediments to postpartum glucose screening in patients with gestational diabetes mellitus based on a bidirectional perspective:a qualitative study

作　　者：谢雨斐 吴丽萍[1] 魏涛[2] 王德慧[2] 张莉[2] Xie Yufei;Wu Liping;Wei Tao;Wang Dehui;Zhang Li(School of Nursing,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100144,China;Department of Obstetrics,Beijing Hospital&National Center of Gerontology&Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院护理学院,北京100144 [2]北京医院妇产科、国家老年医学中心、中国医学科学院老年医学研究院,北京100730

出　　处：《中华现代护理杂志》2025年第10期1300-1306,共7页Chinese Journal of Modern Nursing

摘　　要：目的基于医患双向视角探讨妊娠糖尿病患者产后血糖筛查的促进及阻碍因素,为制订临床干预策略提供参考。方法本研究为描述性质性研究。采用目的抽样法,选取2023年12月—2024年4月在北京医院产科分娩的16例妊娠糖尿病患者以及8名产科医护人员为研究对象进行半结构式访谈。采用定向内容分析法提炼主题。结果促进因素共提炼出3个亚主题,分别为家庭成员与同期产妇的鼓励和支持、对自身健康的重视、疾病严重程度的推动作用;阻碍因素共提炼出3个亚主题,分别为妊娠糖尿病患者个人因素、医护人员缺乏产后血糖筛查指导及随访、医疗机构专科延续性服务体系尚不完善。结论妊娠糖尿病患者产后血糖筛查促进因素和阻碍因素复杂多样,应加强产后健康随访,完善基础医疗设施,以提高产后血糖筛查率。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.

关 键 词：妊娠糖尿病 产妇 血糖筛查 质性研究 

分 类 号：R47[医药卫生—护理学]