基于COM-B模型妊娠期糖尿病妇女产后自我管理促进与阻碍因素的Meta整合
Promoting and hindering factors of postpartum self-management in women with gestational diabetes mellitus based on COM-B model:a Meta-synthesis
邹蓝李 1胡荣 1李敏香 2郭洪花1
作者信息
- 1. 海南医科大学 国际护理学院,海南 海口 571199
- 2. 海南医科大学第二附属医院 护理部,海南 海口 570311
- 折叠
摘要
目的 基于能力、机会、动机-行为模型(capability,opportunity,and motivation-behavior,COM-B),探讨妊娠期糖尿病(gestational diabetes mellitus,GDM)妇女产后自我管理行为的促进与阻碍因素.方法 系统检索中国知网、万方、维普、SinoMed、Embase、PubMed、Web of Science、Ovid等数据库,年限为建库至 2023 年 2 月.采用JBI循证卫生保健中心质性研究质量评价标准进行文献评价,应用Meta整合的方法进行整合.结果 共纳入 17篇文献,提炼出 17个结果,归纳形成 6个类别,得到 3个整合结果:影响GDM产后自我管理行为的能力层面、影响GDM产后自我管理行为的机会层面、影响 GDM产后自我管行为理的动机层面.结论 应充分宣教产后自我管理知识;倡导医院多学科合作并与家庭、社区及社会力量联动,关注GDM妇女产后压力与不良情绪,完善随访模式,提高GDM妇女产后自我管理水平.
Abstract
Objective To explore the promoting and hindering factors of postpartum self-management behavior in women with gestational diabetes mellitus(GDM)based on COM-B model.Methods We searched databases of CNKI,WanFang,VIP,SinoMed Embase,PubMed,Web of science,and Ovid,with the retrieval period spanning from the inception to February,2023.The quality evaluation criteria of JBI evidence-based health care center were used for literature evaluation,and meta-synthesis was applied for literature integration.Results Totally 17 pieces of literature were included,and 17 results were extracted,which were summarized into 6 categories.Three integration results were obtained:the ability level influencing postpartum self-management behavior of GDM,the opportunity level influencing postpartum self-management behavior of GDM,and the motivation level affecting post-partum self-management behavior of GDM.Conclusion It is important to fully educate postpartum women with GDM about self-management knowledge.Advocacy for multidisciplinary collaboration in hospitals,along with collaboration with families,communities,and social support networks should be promoted.Attention should be given to postpartum stress and negative emotions experienced by women with GDM.Follow-up models should be improved to enhance the postpartum self-management of women with GDM.
关键词
妊娠期糖尿病/产后/自我管理/质性研究/Meta整合Key words
gestational diabetes mellitus/postpartum/self-management/qualitative studies/Meta-synthesis引用本文复制引用
基金项目
海南省科技专项资助(ZDYF2022SHFZ083)
2022年海南医学院研究生创新科研课题(B类)(HYYS2022B04)
出版年
2024
国家科技期刊平台
NSTL
万方数据