妊娠期糖尿病患者自我管理体验质性研究的Meta整合

Self-management Experience of Patients with Gestational Diabetes Mellitus:A Qualitative Meta-synthesis

目的系统整合患者在妊娠期糖尿病自我管理过程中的体验。方法检索中国知网(CNKI)、万方(WanFang)、维普(VIP)、中国生物医学文献数据库(CBM)、Web of Science、PubMed、The Cochrane Library等数据库,纳入自建库至2020年3月符合纳入标准的妊娠期糖尿病自我管理体验的质性研究,通过JBI循证卫生保健中心质性研究质量评价标准评价文献质量,使用Meta整合方法对文献进行整合、分析。结果共纳入12篇文献,提炼出45个研究结果,归纳为16个类别,形成3个整合结果:诊断后的反应、自我管理中的问题、逐渐适应的原因。结论妊娠期糖尿病患者从确诊到分娩前的自我管理存在来自自身、家庭、社会等方面的阻碍因素。在家庭社会方面,需提高家庭及社会成员对患者及疾病的关注和重视,支持和监督患者的管理。医护人员则应了解患者的心理状态和困惑,为不同患者提供个性化的随访和指导方案。

Objective To systematically integrate self-management experience of patients with gestational diabetes mellitus(GDM).Methods We searched CNKI,Wanfang,Vip databases,China Biomedical Bibliographic databases(CBM),Web of Science,PubMed and the Cochrane Library from the inception to March 2020,to include qualitative studies on self-management experience of patients with GDM.The quality of the literature was evaluated by the quality evaluation standard of qualitative research of the JBI Evidence-Based Health Care Center.Meta-integration method was used to integrate and analyze the literature.Results A total of 12 articles were included and 45 research results were summarized into 16 categories,forming 3 integrated results:post-diagnosis response,problems in self-management,and reasons for gradual adaptation.Conclusion Patients with GDM have obstacles in self-management coming from themselves,family,society and other aspects during pregnancy.It is necessary for family and social members to pay more attention to patients and the diseases,and to support and supervise the management of patients.Medical staff should understand the mental state and confusion of patients,and provide personalized follow-up and guidance for different patients.