高收入国家医疗保健专业人员为患有GDM的妇女提供护理的观点：一项定性系统评价。

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Primary Care Diabetes Pub Date : 2025-02-24 DOI:10.1016/j.pcd.2024.11.005

Mary-Ellen Hooper , Ella Kurz , Cathy Knight-Agarwal , Mary-Jessimine Bushell , Elyse Ladbrook , Deborah Davis

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引用次数: 0

摘要

背景：妊娠期糖尿病（GDM）在世界范围内是一个日益严峻的挑战，对妇女及其婴儿都有重大风险，其风险延伸到怀孕期间和产后期间。医疗保健专业人员（HCPs）在筛查、诊断、治疗和管理女性GDM方面发挥着重要作用。方法：在这一定性系统综述中，采用全面的搜索策略，探索了电子数据库Web of Science、CINAHL、Medline和Scopus，以及所纳入论文的参考文献列表，以调查高收入医疗机构中医护人员为GDM女性提供护理的经验、观点和实践的初步研究。使用Crowe关键评估工具对研究进行评估，并使用Thomas和Harden描述的方法对研究结果进行综合。结果：本综述包括33篇文章——26篇定性研究和7篇混合方法研究，代表了10个高收入国家。所有研究中HCP参与者的总人数为989人。这一数字由医疗专业人员（ = 226）、护士和助产士（ = 583）、专职保健人员（ = 40）和其他或未按数字指定的医护人员（ = 140）组成。从149项调查结果中，构建了4个主要主题和10个次要主题。四大主题是：多学科合作；医疗实践;组织因素;和女性一起工作。讨论与结论：为患有GDM的妇女提供最佳护理存在障碍。包括时间和资源的限制，在实践指南中缺乏共识，以及多变的多学科合作。展望未来，需要关注更明确的指南、多学科合作和适当的资源，以支持医疗服务提供者向妇女提供护理，以管理与GDM影响的妊娠相关的短期和长期风险。

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The perspectives of healthcare professionals in providing care to women with GDM in high-income nations: A qualitative systematic review

Background

Gestational Diabetes Mellitus (GDM) represents a growing challenge worldwide, with significant risks to both women and their babies that extend beyond the duration of the pregnancy and immediate post-partum period. Healthcare professionals (HCPs) play important roles in the screening, diagnosis, treatment and management of women with GDM.

Methods

For this qualitative systematic review, a comprehensive search strategy explored the electronic databases Web of Science, CINAHL, Medline, and Scopus, as well as the reference lists of the included papers, for primary studies investigating the experiences, perspectives and practices of HCPs providing care to women with GDM in high-income healthcare settings. Studies were assessed with the Crowe Critical Appraisal Tool, and findings were synthesised using the approach described by Thomas and Harden.

Results

This review included 33 articles - 26 qualitative and seven mixed method studies, representing ten high-income nations. The total number of HCP participants represented across the studies is 989. This figure is constituted by medical professionals (n = 226), nurses and midwives (n = 583), allied health (n = 40) and other or not numerically specified HCPs (n = 140). From 149 findings, four major themes and 10 subthemes were constructed. The four major themes are: multidisciplinary collaboration; healthcare practice; organizational factors; and working with women.

Discussion and conclusion

There are barriers to providing optimal care to women with GDM. Including, time and resource constraints, a lack of consensus in practice guidelines, and variable multidisciplinary collaboration. Moving forward, there needs to be a focus on more explicit guidelines, multidisciplinary collaboration, and appropriate resources to support HCPs in providing care to women to manage the short-term and longer-term risks that are associated with a pregnancy affected by GDM.

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来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.