摘要：

目的 探討妊娠期糖尿病孕婦飲食行為改變的特征和原因。方法 采用目的抽樣法,選取2018年7月—8月在莆田市某三級(jí)甲等醫(yī)院產(chǎn)科門診產(chǎn)檢的妊娠期糖尿病孕婦進(jìn)行半結(jié)構(gòu)式訪談,運(yùn)用Colaizzi分析法對(duì)訪談資料進(jìn)行轉(zhuǎn)錄,比較分析、歸納資料并生成主題。結(jié)果 提煉出妊娠期糖尿病孕婦飲食行為改變特征及原因的4個(gè)主題：缺乏疾病相關(guān)知識(shí)與疾病認(rèn)知程度不足、積極控制與被動(dòng)接受的飲食態(tài)度、積極配合與消極應(yīng)付的飲食行為及影響飲食行為改變的因素較多。結(jié)論 妊娠期糖尿病孕婦在適應(yīng)糖尿病飲食過(guò)程中,存在積極或消極的情緒態(tài)度及行為,且受諸多因素影響。

關(guān)鍵詞: 糖尿病, 妊娠, 飲食行為, 產(chǎn)科護(hù)理, 產(chǎn)前保健, 質(zhì)性研究

Abstract:

Objective To explore the characteristics and causes of dietary behavior changes in women with gestational diabetes. Methods Purposive sampling method was used to select pregnant women with gestational diabetes from July to August 2018 in one obstetric clinic of a tertiary hospital in Putian for semi-structured interviews. Golaizzi’s analysis method was used to transcribing interviews,constantly compare and summarize data and generate themes. Results Four themes emerged include lack of knowledge and cognition about the disease,active control and passive eating emotions and attitudes,active coordination and passive coping with eating behavior,and multiple influencing factors of dietary behavior changes. Conclusion In the process of adapting to diabetic diet,pregnant women with gestational diabetes have positive or negative emotional attitudes and behaviors,which are influenced by many factors.

Key words: Diabetes, Gestational, Dietary Behavior, Obstetrical Nursing, Prenatal Care, Qualitative Research

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