Impact Factor:1.778
DOI number:10.1016/j.midw.2020.102797
Affiliation of Author(s):中南大学
Journal:Midwifery
Place of Publication:美国
Key Words:Barriers; Blood glucose self-monitoring; Engagement; Facilitators; Gestational diabetes mellitus; Mixed methods.
Abstract: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.
Note:Q2区
Co-author:Xin Wang, Yixuan Li, Shan Jiang, Mei Sun, James Wiley, Jyu-Lin Chen, Qing Long, Junrong Li
First Author:Jia Guo
Indexed by:Journal paper
Correspondence Author:Jia Guo
Discipline:护理学
Document Type:J
Volume:90
Page Number:102797
Translation or Not:no
Included Journals:SCI