Ngoc-Anh Thi Dang, Hieu Minh Le, Ai Nguyen, Per C Glöde, Christina A Vinter, Jannie Nielsen, Kien Dang Nguyen, Tine M Gammeltoft, Ditte S Linde
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Therefore, this study aimed to landscape GDM self-care interventions in low- and middle-income countries according to the WHO's three dimensions of health.</p><p><strong>Methods: </strong>PubMed, Embase, Global Health Library, and Web of Science were searched for published intervention studies that compared the effect of a self-care intervention to standard care or had no comparator. Studies that targeted women with GDM that reported maternal health and/or neonatal health outcomes (physical, mental, and social health outcomes) and were conducted in low- and middle-income countries were included in the review.</p><p><strong>Results: </strong>Twenty-nine studies (randomised controlled trials and non-randomised studies) were included in the review. No studies were conducted in low-income countries, and studies were primarily conducted in Asia. Most interventions were complex and contained several interacting elements in relation to content, delivery mode, duration, and modality. Most interventions aimed to improve the physical health dimension (n = 28; 96.6%), whilst the mental health (n = 11; 37.9%) and social health dimensions (n = 9; 31.0%) were addressed to a lesser extent.</p><p><strong>Conclusions: </strong>Current GDM self-care interventions in LMICs are complex, and the content of self-care interventions overlaps with lifestyle and non-pharmaceutical interventions. 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引用次数: 0
摘要
背景：妊娠期糖尿病（GDM）是一种发生在妊娠期的暂时性糖尿病，如果不及时治疗，会对孕产妇和新生儿的健康造成影响。在大多数情况下，GDM可以通过自我保健实践（如健康饮食或参加体育活动）进行非医学管理。这在资源匮乏的全球卫生背景下尤为重要。“GDM自我保健”没有官方定义；因此，这些干预措施的内容和实施方式可能差别很大。因此，本研究旨在根据世界卫生组织的三个健康维度，对低收入和中等收入国家的GDM自我保健干预进行景观分析。方法：检索PubMed、Embase、Global Health Library和Web of Science等已发表的干预研究，这些研究比较了自我护理干预与标准护理的效果，或者没有比较物。针对报告孕产妇健康和/或新生儿健康结果（身体、精神和社会健康结果）的GDM妇女，并在低收入和中等收入国家进行的研究被纳入审查。结果：29项研究（随机对照试验和非随机研究）被纳入本综述。没有在低收入国家进行研究，研究主要在亚洲进行。大多数干预措施是复杂的，并且包含与内容、交付模式、持续时间和方式有关的几个相互作用的因素。大多数干预措施旨在改善身体健康方面(n = 28；96.6%)，而心理健康(n = 11；37.9%)和社会健康层面(n = 9；31.0%)在较小程度上得到了解决。结论：当前中低收入国家GDM自我保健干预较为复杂，自我保健干预的内容与生活方式和非药物干预存在重叠。建议科学界对此类干预措施使用标准化术语，并建议未来的GDM干预研究在开展未来研究时至少使用GDM的核心结果集。系统评审注册：OSF登记处（2022年12月2日）[https://doi.org/10.17605/OSF.IO/PJZQ3]。
Self-care interventions among women with gestational diabetes mellitus in low and middle-income countries: a scoping review.
Background: Gestational diabetes mellitus (GDM) is a transitory form of diabetes occurring in pregnancy with maternal and neonatal health consequences if left untreated. GDM can, in most instances, be managed non-medically through self-care practices, such as eating healthy or engaging in physical activity. This is especially relevant in a global health context with scarce resources. There is no official definition of "GDM self-care"; hence, the content and delivery modes of such interventions may vary greatly. Therefore, this study aimed to landscape GDM self-care interventions in low- and middle-income countries according to the WHO's three dimensions of health.
Methods: PubMed, Embase, Global Health Library, and Web of Science were searched for published intervention studies that compared the effect of a self-care intervention to standard care or had no comparator. Studies that targeted women with GDM that reported maternal health and/or neonatal health outcomes (physical, mental, and social health outcomes) and were conducted in low- and middle-income countries were included in the review.
Results: Twenty-nine studies (randomised controlled trials and non-randomised studies) were included in the review. No studies were conducted in low-income countries, and studies were primarily conducted in Asia. Most interventions were complex and contained several interacting elements in relation to content, delivery mode, duration, and modality. Most interventions aimed to improve the physical health dimension (n = 28; 96.6%), whilst the mental health (n = 11; 37.9%) and social health dimensions (n = 9; 31.0%) were addressed to a lesser extent.
Conclusions: Current GDM self-care interventions in LMICs are complex, and the content of self-care interventions overlaps with lifestyle and non-pharmaceutical interventions. It is recommended that the scientific community use a standardised terminology for such interventions and that future GDM intervention studies, as a minimum, use the core outcome set for GDM when developing future studies.
期刊介绍：
Systematic Reviews encompasses all aspects of the design, conduct and reporting of systematic reviews. The journal publishes high quality systematic review products including systematic review protocols, systematic reviews related to a very broad definition of health, rapid reviews, updates of already completed systematic reviews, and methods research related to the science of systematic reviews, such as decision modelling. At this time Systematic Reviews does not accept reviews of in vitro studies. The journal also aims to ensure that the results of all well-conducted systematic reviews are published, regardless of their outcome.
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