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首页> 外文期刊>BMC Health Services Research >Service evaluation of diabetes management during pregnancy in a regional maternity hospital: potential scope for increased self-management and remote patient monitoring through mHealth solutions
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Service evaluation of diabetes management during pregnancy in a regional maternity hospital: potential scope for increased self-management and remote patient monitoring through mHealth solutions

机译：区域产科医院怀孕期间糖尿病管理的服务评估：通过MHEALTO SOULLS提高自我管理和远程患者监测的潜在范围

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Pre-gestational and gestational diabetes mellitus are common complications in pregnancy affecting one in six pregnancies. The maternity services are under significant strain managing the increasing number of complex pregnancies. This has an impact on patients' experience of antenatal care. Therefore, there is a clear need to address pregnancy care. One possible solution is to use home-based digital technology to reduce clinic visits and improve clinical monitoring. The aim of this study was to evaluate the antenatal services provided to pregnant women with diabetes who were monitored at the joint metabolic and obstetric clinic at the Southern Health and Social Care Trust in Northern Ireland. The questionnaires were completed by sixty-three women, most of whom had gestational diabetes mellitus. Most of the participants were between 25 and 35?years of age (69.8%), had one or more children (65.1%) and spent over 2?h attending the clinics (63.9%); 78% of women indicated that their travel time to and from the clinic appointment was over 15?min. Over 70% of women used smartphones for health-related purposes. However, only 8.8% used smartphones to manage their health or diabetes. Less than 25% of the women surveyed expressed concerns about using digital technology from home to monitor various aspects of their health in pregnancy. Overall, pregnant women who had or developed diabetes in pregnancy experience frequent hospital visits and long waiting times in the maternity clinics. Most of these pregnant women are willing to self-manage their condition from home and to be monitored remotely by the healthcare staff.
机译：妊娠前和妊娠期糖尿病是妊娠的常见并发症，影响六种怀孕中的一个。产妇服务处于重大应变，管理越来越多的复杂怀孕。这对患者的产前护理经历产生了影响。因此，清楚地需要解决妊娠护理。一种可能的解决方案是使用基于家庭的数字技术来减少诊所访问并改善临床监测。本研究的目的是评估为患有糖尿病患者提供的产前服务，该糖尿病在南爱尔兰南部健康和社会护理信托的联合代谢和产科诊所监测。调查问卷由六十三名女性完成，其中大多数人都有妊娠糖尿病。大多数参与者在25至35岁之间（69.8％）之间（69.8％），有一个或多个孩子（65.1％）并花了超过2？H参加诊所（63.9％）; 78％的女性表明，他们的旅行时间往返诊所预约超过15？分钟。超过70％的女性使用智能手机进行健康相关的目的。但是，只有8.8％的智能手机管理他们的健康或糖尿病。不到25％的被调查的妇女对使用数字技术的担忧来监测怀孕期间健康的各个方面。总体而言，孕妇在妊娠期患者中患有或开发糖尿病患者经常出现的医院访问和孕妇诊所的漫长等待时间。这些孕妇中的大多数都愿意自我管理的状态，并由医疗保健人员远程监督。

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