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首页> 外文期刊>Diabetic medicine: A journal of the British Diabetic Association >A qualitative study exploring the factors that influence the uptake of pre‐pregnancy care among women with Type 2 diabetes
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A qualitative study exploring the factors that influence the uptake of pre‐pregnancy care among women with Type 2 diabetes

机译：一种定性研究，探讨影响患有2型糖尿病患者前孕前护理的因素的因素

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Abstract Aim To elicit the views and experiences of women with Type 2 diabetes and healthcare professionals relating to the pregnancy and pre‐pregnancy care they have received or provided. Methods A qualitative study using in‐depth semi‐structured interviews with women with Type 2 diabetes ( n =30) and healthcare professionals ( n =22) from primary and specialist care. Women were purposively sampled to include different experiences of pregnancy and pre‐pregnancy care. Data were transcribed verbatim and analysed thematically using Framework Analysis. Results The median age of the women was 37 years, and most were obese (median BMI 34.9 kg/m 2 ), of black or Asian ethnicity ( n =24, 80%) and from areas of high deprivation ( n =21, 70%). Participating healthcare professionals were from primary ( n =14), intermediate ( n =4) and secondary ( n =4) care. Seven themes expressing factors that mediate reproductive behaviour and care in women with Type 2 diabetes were identified at the patient, professional and system levels. Type 2 diabetes was generally perceived negatively by the women and the healthcare professionals. There was a lack of awareness about the pre‐pregnancy care needs for this population, and communication between both groups was unhelpful in eliciting the reproductive intentions of these women. The themes also reveal a lack of systemic processes to incorporate pre‐pregnancy care into the care of women with Type 2 diabetes, and consequently, health professionals in primary care have limited capacity to provide such support. Conclusion If the current high levels of unprepared pregnancies in women with Type 2 diabetes are to be reduced, the reproductive healthcare needs of this group need to be embedded into their mainstream diabetes management.
机译：摘要旨在引出患有2型糖尿病和医疗保健专业人士的妇女的观点和经验，他们已收到或提供。方法采用深入半结构化访性的定性研究，患有2型糖尿病（N = 30）和医疗保健专业人员（N = 22）的女性，来自小学和专业护理。妇女被毒性地抽样，包括怀孕和妊娠前护理的不同经验。数据逐字转录并使用框架分析进行主题分析。结果妇女的中位年龄为37岁，大多数是肥胖（中位BMI 34.9千克/米2），黑色或亚洲种族（n = 24,80％），高剥夺区域（n = 21,70 ％）。参与的医疗保健专业人员来自初级（n = 14），中间（n = 4）和次要（n = 4）护理。在患者，专业和系统水平上鉴定了七个主题表达培养患有2型糖尿病患者的妇女生殖行为和护理的因素。 2型糖尿病通常被妇女和医疗保健专业人员所呈负面失事。对这个人口的怀孕前护理需求缺乏意识，两组之间的沟通在引发这些妇女的生殖意愿方面无益。主题还揭示了缺乏全身过程，将妊娠前护理纳入患有2型糖尿病的女性的护理，因此，初级保健的卫生专业人员能够提供这些支持的能力有限。结论如果要减少2型糖尿病患者的妇女的高水平未准备妊娠，则需要将该组的繁殖医疗保健需求嵌入其主流糖尿病管理中。

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