Abstract:

Objective To understand the motivation of blood glucose management behavior changes in pregnant women with gestational diabetes mellitus（GDM）,in order to provide suggestions and evidence for promoting good blood glucose management in GDM patients. Methods Purposive sampling method was used to select 28 pregnant women with gestational diabetes mellitus from September to December 2020 in 4 hospitals in Shanghai for semi-structured in-depth interviews. Content analysis was used to analyze and refine the theme. Results The motivation of blood glucose management behavior change of GDM pregnant women includes perceiving the severity of the disease,perceiving the risk of bad blood glucose management behaviors,and perceiving the benefits of healthy blood glucose management behavior. Conclusion Clinical nursing staffs can improve the awareness of GDM pregnant women on the severity of disease and the risk of bad blood glucose management behaviors,and improve the awareness of GDM pregnant women on healthy blood glucose management behaviors,so as to improve their motivation to change their poor blood glucose management behavior and unhealthy lifestyles.

Key words: Gestational Diabetes Mellitus, Blood Glucose Management, Motivation, Qualitative Study, Nursing Care

摘要：

目的 了解妊娠期糖尿病孕妇血糖管理行为改变的动机,以期为促进孕妇良好的血糖管理提供建议和依据。方法 采用目的抽样法,选取2020年9月—12月在上海市4所医院就诊的28例妊娠期糖尿病孕妇进行半结构式深度访谈。采用内容分析法分析、提炼主题。结果 得出妊娠期糖尿病孕妇血糖管理行为改变动机的3个主题,包括感知到疾病严重性、感知到血糖管理不良行为的风险、感知到血糖管理健康行为的益处。结论 临床护理人员可通过提高妊娠期糖尿病孕妇对疾病严重性及血糖管理不良行为的风险意识,促进孕妇对血糖管理健康行为的认识,从而改善其改变血糖管理不良行为及生活方式的动机。

关键词: 妊娠期糖尿病, 血糖管理, 动机, 质性研究, 护理