摘要
目的对妊娠期糖尿病(GDM)孕妇健康行为相关评估工具进行范围综述。方法以“妊娠期糖尿病”“健康行为”“评估”“gestational diabetes mellitus”“health behavior”“assess”等为检索词,系统检索中国知网、万方数据库、中国生物医学文献数据库、PubMed、Web of Science核心集、Embase 6个中英文数据库,提取GDM孕妇健康行为评估工具的相关内容进行系统分析,并对检索结果进行规范化报告。检索时限为建库至2023年2月1日。结果共检索到2657篇文献,经筛选最终纳入41篇文献,其中16篇关于评估工具的开发与验证,2篇关于评估工具的本土化,23篇关于评估工具的应用。综合分析了18个评估工具的特征,包括16个原始评估工具和2个本土化评估工具,时间跨度为1987—2020年,评估内容涉及饮食行为、运动行为、药物依从性、血糖监测行为、治疗依从性、自我管理行为和健康促进生活方式,其中7个评估工具在GDM孕妇中验证了信度和(或)效度。23篇评估工具应用文献中,孕期身体活动问卷和健康促进生活方式Ⅱ量表是GDM孕妇健康行为评估中应用最多的工具。结论GDM孕妇健康行为相关评估工具种类繁多,评估内容较为丰富,但多数评估工具尚未在GDM孕妇群体中验证其信效度,临床推广应用有限。
Objective To conduct a scoping review of health behavior-related assessment tools for pregnant women with gestational diabetes mellitus(GDM).Methods A total of 6 Chinese and English databases,including CNKI,Wanfang Database,China Biomedical Literature Database,PubMed,Web of Science Core set and Embase,were systematically searched by the terms of“gestational diabetes mellitus”,“health behavior”,“assessment”.The relevant contents of GDM health behavior-related assessment tools were retrieved for systematic analysis,and the results were normalized reported.The search period was from the establishment of the databases to February 1,2023.Results A total of 2657 literatures were retrieved,and 41 literatures were finally included after screening,including 16 literatures on the development and verification of assessment tools,2 literatures on localization of assessment tools,and 23 literatures on the application of the assessment tools.A comprehensive analysis was conducted on 18 assessment tools,including 16 original assessment tools and 2 localized assessment tools,spanning the years 1987 to 2020.The assessment content covered dietary behavior,physical activity behavior,medication adherence,blood glucose monitoring behavior,treatment adherence,self-management behavior,and health-promoting lifestyles.Among them,7 assessment tools were validated for reliability and/or validity in pregnant women with GDM.Among the 23 studies that covered the implication of the assessment tools,the Pregnancy Physical Activity Questionnaire and Health-Promoting LifestyleⅡwere the most commonly utilized tools for assessing health behaviors in pregnant women with GDM.Conclusions There is a wide variety of assessment tools related to health behaviors in pregnant women with GDM,and the assessment content is relatively rich.However,most of the assessment tools have not been validated for their reliability and validity within the GDM population,limiting their clinical application and promotion.
作者
潘月帅
李倩倩
王静远
张艳
谷如婷
王刚
赵君露
魏丽丽
Pan Yueshuai;Li Qianqian;Wang Jingyuan;Zhang Yan;Gu Ruting;Wang Gang;Zhao Junlu;Wei Lili(Department of Nursing,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of Ophthalmology,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of Neurology,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of Thoracic Surgery,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of Intensive Care Unit,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Office of the Dean,Affiliated Hospital of Qingdao University,Qingdao 266003,China)
出处
《中华健康管理学杂志》
CAS
CSCD
2023年第12期936-945,共10页
Chinese Journal of Health Management
基金
山东省护理学会科研课题(SDHLKT202209)
中华护理学会科研项目(ZHKY202118)
山东省卫生健康委员会(202114030719)。
