Barriers and facilitators of self-monitoring of blood glucose engagement among women with gestational diabetes mellitus in China: A mixed-methods study
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影响因子：
1.778
DOI码：
10.1016/j.midw.2020.102797
所属单位：
中南大学
发表刊物：
Midwifery
刊物所在地：
美国
关键字：
Barriers; Blood glucose self-monitoring; Engagement; Facilitators; Gestational diabetes mellitus; Mixed methods.
摘要：
Background: Self-monitoring of blood glucose (SMBG) is a crucial tool for maintaining glycemic control in women with gestational diabetes mellitus (GDM). However, to date, little is known about the current status of SMBG engagement among women with GDM in China.
Objective: To describe the current status of SMBG engagement among women with GDM in China and identify its barriers and facilitators.
Design and setting: A mixed-methods design was conducted, comprising a cross-sectional survey and semi-structured interviews. The research data were collected in two tertiary hospitals in Hunan province, China.
Participants: A total of 323 women with GDM completed the survey from March 2018 to October 2018, and 11 of them participated in the interviews.
Finding: In total, 35.6% of the participants actively engaged in SMBG. The participants who had an advanced maternal age (95% CI 0.253-0.947), did not own glucose meters (95% CI 0.054-0.364), did not receive SMBG-related information from health professionals (95% CI 0.232-.987), or received less SMBG information in general (95% CI 0.137-0.52) were less likely to engage in SMBG. Insufficient SMBG information and low awareness of SMBG were also summarized as the main barriers in the interview findings. Facilitators of SMBG engagement included SMBG-related social support (95% CI 1.573-6.135) and health concerns related to themselves and the unborn infant.
Conclusion: About one-third of Chinese women with GDM engaged in SMBG. An accurate and complete description of how SMBG should be performed is needed from health professionals. Strategies to obtain more SMBG-related social support and a greater emphasis on health concerns are recommended to increase SMBG engagement among women with GDM in China.
备注：
Q2区
合写作者：
Xin Wang, Yixuan Li, Shan Jiang, Mei Sun, James Wiley, Jyu-Lin Chen, Qing Long, Junrong Li
第一作者：
Jia Guo
论文类型：
期刊论文
通讯作者：
Jia Guo
学科门类：
护理学
文献类型：
J
卷号：
90
页面范围：
102797
是否译文：
否
收录刊物：
SCI
学位：医学博士学位
职称：教授
学科：护理学
所在单位：湘雅护理学院
