摘要：

目的 了解妊娠期糖尿病孕婦血糖管理行為改變的動機,以期為促進孕婦良好的血糖管理提供建議和依據(jù)。方法 采用目的抽樣法,選取2020年9月—12月在上海市4所醫(yī)院就診的28例妊娠期糖尿病孕婦進行半結構式深度訪談。采用內容分析法分析、提煉主題。結果 得出妊娠期糖尿病孕婦血糖管理行為改變動機的3個主題,包括感知到疾病嚴重性、感知到血糖管理不良行為的風險、感知到血糖管理健康行為的益處。結論 臨床護理人員可通過提高妊娠期糖尿病孕婦對疾病嚴重性及血糖管理不良行為的風險意識,促進孕婦對血糖管理健康行為的認識,從而改善其改變血糖管理不良行為及生活方式的動機。

關鍵詞: 妊娠期糖尿病, 血糖管理, 動機, 質性研究, 護理

Abstract:

Objective To understand the motivation of blood glucose management behavior changes in pregnant women with gestational diabetes mellitus（GDM）,in order to provide suggestions and evidence for promoting good blood glucose management in GDM patients. Methods Purposive sampling method was used to select 28 pregnant women with gestational diabetes mellitus from September to December 2020 in 4 hospitals in Shanghai for semi-structured in-depth interviews. Content analysis was used to analyze and refine the theme. Results The motivation of blood glucose management behavior change of GDM pregnant women includes perceiving the severity of the disease,perceiving the risk of bad blood glucose management behaviors,and perceiving the benefits of healthy blood glucose management behavior. Conclusion Clinical nursing staffs can improve the awareness of GDM pregnant women on the severity of disease and the risk of bad blood glucose management behaviors,and improve the awareness of GDM pregnant women on healthy blood glucose management behaviors,so as to improve their motivation to change their poor blood glucose management behavior and unhealthy lifestyles.

Key words: Gestational Diabetes Mellitus, Blood Glucose Management, Motivation, Qualitative Study, Nursing Care

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