Background

Gestational diabetes is a disease with complex management that requires multidisciplinary collaboration. To achieve treatment goals, in addition to using medications and paying attention to exercise and diet, it is also important to take into account the mental health and psychosocial aspects of diabetes management. This study aimed to highlight these challenges associated with gestational diabetes.

Method

This qualitative systematic review involved a search of the following databases: CINAHL, EMBASE, MEDLINE, and PsycINFO. Title, abstract, and full-text screening was done using Covidence software, and quality assessment of the included papers was conducted using the Critical Appraisal Skills Programme Checklist. Enhancing transparency in reporting the synthesis of the qualitative research statement (ENTREQ) was used in the design of this paper. Data synthesis was done using meta-aggregation method.

Results

Out of the 2440 articles searched, 24 were qualitatively analyzed. The CASP score of the included papers was optimal. The 514 findings extracted from the 24 studies were aggregated into five broad conceptual categories: psychological challenges, socio-cultural challenges, information–communication challenges, challenges associated with a lifestyle change, and challenges related to health care.

Conclusion

Recognizing the psychosocial challenges associated with gestational diabetes and developing support packages tailored to psychosocial needs can help improve the management of these patients.

中文翻译：

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与妊娠期糖尿病相关的社会心理挑战：定性研究的系统评价

背景

妊娠糖尿病是一种管理复杂的疾病，需要多学科合作。为了实现治疗目标，除了使用药物和注意运动和饮食外，还必须考虑糖尿病管理的心理健康和社会心理方面。本研究旨在强调与妊娠糖尿病相关的这些挑战。

方法

该定性系统评价涉及对以下数据库的搜索：CINAHL、EMBASE、MEDLINE 和 PsycINFO。使用 Covidence 软件完成标题、摘要和全文筛选，并使用关键评估技能计划清单对包含的论文进行质量评估。在本文的设计中使用了提高报告定性研究声明 (ENTREQ) 综合报告的透明度。数据合成采用元聚合方法。

结果

在搜索的 2440 篇文章中，有 24 篇进行了定性分析。纳入论文的 CASP 得分是最佳的。从 24 项研究中提取的 514 项结果汇总为五个广泛的概念类别：心理挑战、社会文化挑战、信息交流挑战、与生活方式改变相关的挑战以及与医疗保健相关的挑战。

结论

认识到与妊娠糖尿病相关的社会心理挑战并开发针对社会心理需求的支持包可以帮助改善这些患者的管理。