Perception of factors influencing preventive behaviours for the recurrence of gestational diabetes in women with a history of gestational diabetes during subsequent pregnancies: A qualitative study

IF 3.4 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2025-05-24 DOI:10.1111/dme.70072

Leyang Liu, Hua Liu, Weiwei Liu

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引用次数: 0

Abstract

Aims

To explore the perspectives of pregnant women with a history of gestational diabetes mellitus (GDM) on factors influencing preventive behaviours for GDM recurrence.

Methods

A qualitative descriptive study was conducted through semi-structured interviews with 30 pregnant women with a history of GDM. Interviews were recorded and transcribed verbatim and analysed using thematic analysis.

Results

This study identified four major themes and 19 sub-themes related to the prevention behaviors of GDM recurrence. These themes are as follows: Knowledge and Belief Levels include previous successful management experience, knowledge of recurrence prevention, awareness of the importance of GDM recurrence prevention, self-efficacy, outcome expectancy, and risk perception. Self-Regulation Skills and Abilities encompass goal setting, goal reconstruction, planning, self-monitoring, self-reflection, self-evaluation, positive emotion adjustment, and self-control. Social Environment involves social influence and social support. Accessibility of Personal Conditions includes physical health status, concurrent priorities, and physical environment accessibility.

Conclusions

The study findings highlight that the level of knowledge on GDM recurrence prevention, self-regulation ability, social support and accessibility of individual conditions are important influencing factors for women with a history of GDM to prevent GDM recurrence.

查看原文本刊更多论文

对有妊娠糖尿病史的妇女妊娠期糖尿病复发预防行为影响因素的认知：一项定性研究

目的：探讨有妊娠期糖尿病（GDM）病史的孕妇对GDM复发预防行为影响因素的看法。方法：采用半结构化访谈法对30例有GDM病史的孕妇进行定性描述性研究。访谈被逐字记录和转录，并使用专题分析进行分析。结果：本研究确定了与GDM复发预防行为相关的4个主要主题和19个次要主题。知识和信念水平包括以往成功的管理经验、预防复发的知识、对预防GDM复发重要性的认识、自我效能感、结果预期和风险感知。自我调节技能和能力包括目标设定、目标重建、计划、自我监控、自我反思、自我评价、积极情绪调节和自我控制。社会环境包括社会影响和社会支持。个人条件可及性包括身体健康状况、并发优先级和物理环境可及性。结论：研究结果表明，预防GDM复发知识水平、自我调节能力、社会支持和个体条件可及性是影响GDM病史女性预防GDM复发的重要因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”