Why Women Diagnosed with Gestational Diabetes Mellitus Undergo a Medical Check Up One-year Post-childbirth
Objective: This study aimed to clarify the reasons women diagnosed with gestational diabetes mellitus (GDM) undergo a medical check-up one year post-childbirth.Methods: Semi-structured interviews were conducted with women diagnosed with GDM when they came to the hospital or outpatient clinic to unde...
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| Published in | Japanese Journal of Public Health Nursing Vol. 11; no. 1; pp. 2 - 10 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan Academy of Public Health Nursing
2022
一般社団法人 日本公衆衛生看護学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2187-7122 2189-7018 |
| DOI | 10.15078/jjphn.11.1_2 |
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| Abstract | Objective: This study aimed to clarify the reasons women diagnosed with gestational diabetes mellitus (GDM) undergo a medical check-up one year post-childbirth.Methods: Semi-structured interviews were conducted with women diagnosed with GDM when they came to the hospital or outpatient clinic to undergo a medical check-up one year post-childbirth. The collected data were analyzed qualitatively.Results: Thirteen women participated in the study. The results were aggregated into 18 categories with six primary categories. The six primary reasons reported by participants for receiving medical check-ups were: (1) I want to avoid becoming diabetic; (2) I understand that medical check-ups should continue after childbirth; (3) A medical check-up is an opportunity to review overall health and lifestyle; (4) I want to be reassured by advice from a doctor; (5) Others recommended that I have a medical check-up; and (6) There are social conditions for available medical check-ups even while raising children.Discussion: Women diagnosed with GDM continued to undergo medical check-ups after childbirth to protect their own health for reasons that included explanations from medical staff, concern for their children, social availability of medical care during the child-raising years, and recommendations from others. These reasons were effective in ensuring continuous medical check-ups. |
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| AbstractList | Objective: This study aimed to clarify the reasons women diagnosed with gestational diabetes mellitus (GDM) undergo a medical check-up one year post-childbirth.Methods: Semi-structured interviews were conducted with women diagnosed with GDM when they came to the hospital or outpatient clinic to undergo a medical check-up one year post-childbirth. The collected data were analyzed qualitatively.Results: Thirteen women participated in the study. The results were aggregated into 18 categories with six primary categories. The six primary reasons reported by participants for receiving medical check-ups were: (1) I want to avoid becoming diabetic; (2) I understand that medical check-ups should continue after childbirth; (3) A medical check-up is an opportunity to review overall health and lifestyle; (4) I want to be reassured by advice from a doctor; (5) Others recommended that I have a medical check-up; and (6) There are social conditions for available medical check-ups even while raising children.Discussion: Women diagnosed with GDM continued to undergo medical check-ups after childbirth to protect their own health for reasons that included explanations from medical staff, concern for their children, social availability of medical care during the child-raising years, and recommendations from others. These reasons were effective in ensuring continuous medical check-ups.
目的：妊娠糖尿病（gestational diabetes mellitus：以下，GDM）と診断された女性が出産1年後にフォローアップ検診を受診した理由を明らかにする．方法：出産1年後のフォローアップ検診を受けたGDM既往女性を対象に半構成インタビューを実施し，質的帰納的に分析した．結果：研究協力者は13名であった．分析の結果，18カテゴリが生成され，【将来糖尿病になりたくない】【産後も検査が続くことを理解している】【自分の生活習慣を見直す機会となる】【医師からの助言で安心したい】【周囲から検査を後押しされる】【子育て中でも安心して受診できる条件がそろっている】の6メインカテゴリが生成された．考察：GDM既往女性は，医療者からの説明や子供を思いやる気持ちなどから糖尿病になりたくない気持ちを抱き，自分自身の健康のために産後も検査を継続していた．他者から検査を後押しされることや育児中でも安心して受診できる環境がそろっていることは継続受診に効果的であった． Objective: This study aimed to clarify the reasons women diagnosed with gestational diabetes mellitus (GDM) undergo a medical check-up one year post-childbirth.Methods: Semi-structured interviews were conducted with women diagnosed with GDM when they came to the hospital or outpatient clinic to undergo a medical check-up one year post-childbirth. The collected data were analyzed qualitatively.Results: Thirteen women participated in the study. The results were aggregated into 18 categories with six primary categories. The six primary reasons reported by participants for receiving medical check-ups were: (1) I want to avoid becoming diabetic; (2) I understand that medical check-ups should continue after childbirth; (3) A medical check-up is an opportunity to review overall health and lifestyle; (4) I want to be reassured by advice from a doctor; (5) Others recommended that I have a medical check-up; and (6) There are social conditions for available medical check-ups even while raising children.Discussion: Women diagnosed with GDM continued to undergo medical check-ups after childbirth to protect their own health for reasons that included explanations from medical staff, concern for their children, social availability of medical care during the child-raising years, and recommendations from others. These reasons were effective in ensuring continuous medical check-ups. |
| Author | Watai, Izumi Ito, Yukie Tatsumi, Asami |
| Author_FL | 巽 あさみ 伊藤 由紀恵 渡井 いずみ |
| Author_FL_xml | – sequence: 1 fullname: 伊藤 由紀恵 – sequence: 2 fullname: 巽 あさみ – sequence: 3 fullname: 渡井 いずみ |
| Author_xml | – sequence: 1 fullname: Watai, Izumi organization: Faculty of Nursing, School of Medicine, Hamamatsu University School of Medicine – sequence: 1 fullname: Ito, Yukie organization: Hamamatsu City Hall – sequence: 1 fullname: Tatsumi, Asami organization: Department of Nursing, School of Nursing, University of Human Environments |
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| References | 穴澤園子，杢保敦子，渥美義仁，他（2001）：妊娠糖尿病母体の出産後の追跡とドロップアウト対策について，糖尿病と妊娠，1(2)，51–55 厚生労働省（2016）：平成28年国民健康・栄養調査，https://www.mhlw.go.jp/stf/houdou/0000177189.html（検索日：2022年2月11日） Morikawa M., Sugiyama T., Sagawa N., et al. (2017): Perinatal mortality in Japanese women diagnosed with gestational diabetes mellitus and diabetes mellitus, Journal of Obstetrics and Gynaecology Research, 43(11), 1700–1707. Sterne V.L., Logan T., Palmer M.A. (2011): Factors affecting attendance at postpartum diabetes screening in women with gestational diabetes mellitus, Practical Diabetes International, 28(2), 64–68. doi: https://doi.org/10.1002/pdi.1559 Bellamy L., Casas J.P., Hingorani A.D., et al. (2009): Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis, Lancet, 373(9677), 1773–1779. 西條磨也，本間貴子，谷川優佳，他（2017）：妊娠糖尿病の既往がある女性の産後の継続的な受診行動を妨げている要因，日本看護学会論文集 ヘルスプロモーション，47，11–14 三浦美奈子，櫻田章子（2018）：3歳児を育てる保護者の健康状態および受診行動の現状と課題，東京女子医科大学看護学会誌，13(1)，22–27 阿部弘美，高橋央，齋藤美恵子，他（2009）：妊娠を機に糖代謝異常が発見され産後も糖尿病治療が継続された女性の妊娠・出産・産後に対する思い，日本赤十字看護学会誌，9(1)，1–9 中嶋カツヱ，田中佳代，加藤陽子，他（2008）：妊娠糖尿病妊婦の出産後のセルフケア行動の動機づけに関する研究，久留米医学会雑誌，71，360–368 和栗雅子（2014）：新基準によって診断された妊娠糖尿病既往女性の糖代謝予後に関する研究～4施設における産後5年までの連続データの解析結果～，平成26年度厚生労働科学研究費補助金（循環器疾患・糖尿病等生活習慣病対策総合研究事業）分担研究報告書 村上美華，梅木彰子，花田妙子（2009）：糖尿病患者の自己管理を促進および阻害する要因，日本看護研究学会雑誌，32(4)，29–38 日本糖尿病学会（2019），糖尿病診療ガイドライン2019，283–304，南江堂，東京 阿部春奈，手塚洋子，藤川由紀，他（2016）：妊娠糖尿病と診断された褥婦の思い 産後入院中のインタビューを通して，長野赤十字病院医誌，30，22–26 高橋久子（2005）：糖尿病合併妊婦と妊娠糖尿病妊婦の心理，福井トシ子編著，糖尿病妊婦の周産期ケア 女性のライフサイクルを通じた支援（第1版），22–34，メディカ出版，大阪 吉森由香利，土居則子，三井昌栄（2013）：受診中断歴のある糖尿病外来通院患者の受診継続に至った背景の実態，日本看護学会論文集 成人看護II，43，79–82 鶴見薫，山西雅子，村中峯子，他（2016）：産後1年以内の女性による妊娠中の耐糖能異常の認知の実態と支援の課題，糖尿病と妊娠，16(1)，84–92 荒田尚子，和栗雅子，安日一郎，他（2014）：妊娠糖尿病を合併した女性のフォローアップに関する医療者および医療機関への実態調査 わが国における糖尿病専門医および周産期医療施設内科医を対象としたアンケート調査，糖尿病と妊娠，14(1)，88–92 山波真理，加納尚美（2017）：妊娠糖尿病女性の認識と保健行動のプロセス，母性衛生，58(1)，22–30 川村麻由香（2020）：外来通院中の妊娠糖尿病妊婦が生活の中で血糖コントロール方法を見出す過程，日本母性看護学会誌，20(1)，1–8 田中佳代，中嶋カツヱ，加藤陽子，他（2010）：妊娠糖尿病および糖尿病合併妊娠の分娩後のフォローアップ，糖尿病と妊娠，10(1)，61–66 Mayring P. (2014): Qualitative content analysis theoretical foundation, basic procedures and software solution, http://nbn-resolving.de/urn:nbn:de:0168-ssoar-395173（検索日：2022年2月11日） 日本産科婦人科学会（2017），産婦人科診療ガイドライン産科編2017，26–33，日本産科婦人科学会，東京 |
| References_xml | – reference: 日本糖尿病学会（2019），糖尿病診療ガイドライン2019，283–304，南江堂，東京． – reference: 鶴見薫，山西雅子，村中峯子，他（2016）：産後1年以内の女性による妊娠中の耐糖能異常の認知の実態と支援の課題，糖尿病と妊娠，16(1)，84–92． – reference: Bellamy L., Casas J.P., Hingorani A.D., et al. (2009): Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis, Lancet, 373(9677), 1773–1779. – reference: 荒田尚子，和栗雅子，安日一郎，他（2014）：妊娠糖尿病を合併した女性のフォローアップに関する医療者および医療機関への実態調査 わが国における糖尿病専門医および周産期医療施設内科医を対象としたアンケート調査，糖尿病と妊娠，14(1)，88–92． – reference: 川村麻由香（2020）：外来通院中の妊娠糖尿病妊婦が生活の中で血糖コントロール方法を見出す過程，日本母性看護学会誌，20(1)，1–8． – reference: 高橋久子（2005）：糖尿病合併妊婦と妊娠糖尿病妊婦の心理，福井トシ子編著，糖尿病妊婦の周産期ケア 女性のライフサイクルを通じた支援（第1版），22–34，メディカ出版，大阪． – reference: 吉森由香利，土居則子，三井昌栄（2013）：受診中断歴のある糖尿病外来通院患者の受診継続に至った背景の実態，日本看護学会論文集 成人看護II，43，79–82． – reference: 田中佳代，中嶋カツヱ，加藤陽子，他（2010）：妊娠糖尿病および糖尿病合併妊娠の分娩後のフォローアップ，糖尿病と妊娠，10(1)，61–66． – reference: Mayring P. (2014): Qualitative content analysis theoretical foundation, basic procedures and software solution, http://nbn-resolving.de/urn:nbn:de:0168-ssoar-395173（検索日：2022年2月11日） – reference: 阿部弘美，高橋央，齋藤美恵子，他（2009）：妊娠を機に糖代謝異常が発見され産後も糖尿病治療が継続された女性の妊娠・出産・産後に対する思い，日本赤十字看護学会誌，9(1)，1–9． – reference: 山波真理，加納尚美（2017）：妊娠糖尿病女性の認識と保健行動のプロセス，母性衛生，58(1)，22–30． – reference: 村上美華，梅木彰子，花田妙子（2009）：糖尿病患者の自己管理を促進および阻害する要因，日本看護研究学会雑誌，32(4)，29–38． – reference: 穴澤園子，杢保敦子，渥美義仁，他（2001）：妊娠糖尿病母体の出産後の追跡とドロップアウト対策について，糖尿病と妊娠，1(2)，51–55． – reference: 西條磨也，本間貴子，谷川優佳，他（2017）：妊娠糖尿病の既往がある女性の産後の継続的な受診行動を妨げている要因，日本看護学会論文集 ヘルスプロモーション，47，11–14． – reference: Sterne V.L., Logan T., Palmer M.A. (2011): Factors affecting attendance at postpartum diabetes screening in women with gestational diabetes mellitus, Practical Diabetes International, 28(2), 64–68. doi: https://doi.org/10.1002/pdi.1559 – reference: 厚生労働省（2016）：平成28年国民健康・栄養調査，https://www.mhlw.go.jp/stf/houdou/0000177189.html（検索日：2022年2月11日） – reference: 和栗雅子（2014）：新基準によって診断された妊娠糖尿病既往女性の糖代謝予後に関する研究～4施設における産後5年までの連続データの解析結果～，平成26年度厚生労働科学研究費補助金（循環器疾患・糖尿病等生活習慣病対策総合研究事業）分担研究報告書． – reference: 三浦美奈子，櫻田章子（2018）：3歳児を育てる保護者の健康状態および受診行動の現状と課題，東京女子医科大学看護学会誌，13(1)，22–27． – reference: 中嶋カツヱ，田中佳代，加藤陽子，他（2008）：妊娠糖尿病妊婦の出産後のセルフケア行動の動機づけに関する研究，久留米医学会雑誌，71，360–368． – reference: Morikawa M., Sugiyama T., Sagawa N., et al. (2017): Perinatal mortality in Japanese women diagnosed with gestational diabetes mellitus and diabetes mellitus, Journal of Obstetrics and Gynaecology Research, 43(11), 1700–1707. – reference: 阿部春奈，手塚洋子，藤川由紀，他（2016）：妊娠糖尿病と診断された褥婦の思い 産後入院中のインタビューを通して，長野赤十字病院医誌，30，22–26． – reference: 日本産科婦人科学会（2017），産婦人科診療ガイドライン産科編2017，26–33，日本産科婦人科学会，東京． |
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| SubjectTerms | follow-up gestational diabetes mellitus health behavior medical check-up postpartum フォローアップ 保健行動 妊娠糖尿病 検診 産後 |
| Title | Why Women Diagnosed with Gestational Diabetes Mellitus Undergo a Medical Check Up One-year Post-childbirth |
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