摘要
目的深入了解妊娠期糖尿病产妇产后健康促进行为驱动力的因素。方法2019年9—10月,使用目的抽样法选取在糖尿病护理专科门诊就诊的妊娠期糖尿病产妇14例为研究对象,采用现象学研究方法,对其进行半结构式访谈。运用Colaizzi 7步分析法对资料进行整理分析,提炼主题。结果妊娠期糖尿病产妇产后健康促进行为驱动力主要来源于内在的驱动力及外在的驱动力。内在的驱动力主要有妊娠期糖尿病的疾病不确定感、问题的解决提升了自我价值、创伤后成长使患者重新认识生活;外在的驱动力主要有家属支持、充分调动主观能动性、量化饮食摄入以及建立健康生活形态。结论妊娠期糖尿病产妇产后健康促进的驱动力因素复杂多样。医护人员要及时掌握妊娠期糖尿病产妇产后的健康促进状况,促进其实现自我支持以及社会支持等。
Objective To understand the driving factors of postpartum health promotion behaviors in pregnant women with gestational diabetes.Methods From September to October 2019,the purpose of the sampling method was to select 14 cases of gestational diabetic gynaecologists who visited the outpatient department of diabetes care in our hospital as the research subjects.The phenomenological research method was used to conduct a semi-structured interview.Colaizzi′s 7-step analysis method was used to organize and analyze the data to refine the subject.Results The driving force of postpartum health promotion behaviors of gestational diabetes mothers mainly came from the internal driving force and the external driving force.The internal driving force was mainly the uncertainty of gestational diabetes,the solution of the problem improves self-worth,and the post-traumatic growth made patients re-understand life.The external driving force was mainly family support,full mobilization of subjective initiative,quantitative diet intake and building of a healthy lifestyle.Conclusions The driving factors for postpartum health promotion of gestational diabetic women are complex and diverse.Medical staff should timely grasp the post-natal health promotion status of gestational diabetic women,and promote their self-support and social support.
作者
蒋维连
李赛花
阳美珍
黄宪丽
郭芸
Jiang Weilian;Li Saihua;Yang Meizhen;Huang Xianli;Guo Yun(Department of Scientific Research,Guilin People′s Hospital,Guilin 541002,China;Department of Nursing,Guilin People′s Hospital,Guilin 541002,China;Department of Endocrinology,Guilin People′s Hospital,Guilin 541002,China;Office of Guilin People′s Hospital,Guilin 541002,China)
出处
《中国实用护理杂志》
2020年第26期2034-2039,共6页
Chinese Journal of Practical Nursing
基金
桂林市科学研究与技术开发计划(20170109-4)。
关键词
妊娠
糖尿病
产妇
健康促进
质性研究
Pregnancy,diabetes
Maternal
Health promotion
Qualitative research
