Factors influencing postpartum blood glucose screening among women with prior gestational diabetes mellitus in a rural community
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影响因子：
2.561
DOI码：
10.1111/jan.14440
所属单位：
中南大学
发表刊物：
Journal of Advanced Nursing
刊物所在地：
英国
关键字：
blood glucose screening; gestational diabetes mellitus; nursing; postpartum; rural; women.
摘要：
Aims: The aims of the present study were: a) to investigate the current state of postpartum glucose screening in rural China; and b) to explore the factors influencing postpartum blood glucose screening among women with prior GDM based on Andersen's behavioural model of health service use.
Design: A multisite, cross-sectional study design, conducted from November 2017 to January 2018.
Methods: A total of 465 women with prior GDM were included from two county-level hospitals in rural China. The potential influencing factors for postpartum blood glucose screening based on Andersen's behavioural model, including predisposing, enabling, and need factors, were collected by self-reported questionnaires. Chi-square tests and logistic regression were used to explore the influence of these factors on whether screening of blood glucose level after delivery occurred.
Results: The mean age of the women was 31.92 years old (SD 5.16) and the mean time after delivery was 16.73 months (SD 15.07). The postpartum glucose screening proportion was 32.7%. Women who did not have a full-time job (p= .011) (predisposing factor), had not received any treatment for GDM (p= .002), and were not informed about screening plans for diabetes by health professionals (p < .001) (enabling factor) were less likely to engage in postpartum glucose screening. The need factor, high actual risk of developing type 2 diabetes mellitus (T2DM), was not associated with postpartum blood glucose screening (p> .05).
Conclusions: In rural China, most women with prior GDM were not screened for T2DM after delivery. The women with prior GDM who did not have a full-time job or had not received any prior treatment for GDM should be the target population for health education on postpartum glucose screening.
Impact: There is a need for data on postpartum blood glucose testing rates among rural women. Future interventions aimed at increasing postpartum blood glucose screening are needed.
备注：
Q1区（published online ahead of print）
合写作者：
Qing Long, Jundi Yang, Jiaxin Luo, Shuangyan Yang, Xiangxin Li, Ping Mao, Jyu-Lin Chen
第一作者：
Yujia Tang
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
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
