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1.
Medicine (Baltimore) ; 103(15): e37755, 2024 Apr 12.
Article in English | MEDLINE | ID: mdl-38608114

ABSTRACT

Gestational Diabetes Mellitus is an important public health problem that often occurs during pregnancy. This study aimed to reveal the experiences of women with gestational diabetes regarding the fear of having diabetes in their babies. A qualitative research method was carried out with a phenomenological approach. The interviews had a semi-structured form and were recorded on an online/face-to-face voice recorder, and thematic content analysis was performed on the MAXQDA22. Following the inclusion criteria, 12 women with gestational diabetes from the 2 hospitals in the study were included, and in this way, the study reached saturation. As a result of the interviews, 4 main themes and one subtheme were obtained from coding. The main themes were "sugar baby," "risky child," "raising a fearful baby," and "problematic gene carrier." From the main theme of "problematic gene carrier," the subtheme of "pregnancies with problematic genes" was created. This research sheds light on the problems women with gestational diabetes experience with themselves and their babies, and how they deal with these problems. Women with gestational diabetes try to accept and cope with the diagnosis. This research shows that the women were worried about both themselves and their babies. Illuminating the experiences of women with gestational diabetes is part of an integrative care approach that will help increase quality care and treatment in endocrine clinics. More qualitative studies are needed to learn more about the experiences of women with gestational diabetes in endocrine clinics.


Subject(s)
Diabetes, Gestational , Infant , Child , Pregnancy , Female , Humans , Fear , Hospitals , Learning , Qualitative Research
2.
Medicine (Baltimore) ; 102(49): e35831, 2023 Dec 08.
Article in English | MEDLINE | ID: mdl-38065916

ABSTRACT

Gestational diabetes mellitus (GDM) is characterized by carbohydrate metabolism intolerance during pregnancy in individuals with normal blood glucose levels before pregnancy. The first-line treatment for GDM is nutrition and exercise, and insulin therapy is initiated when these are insufficient. Pregnant women who are started on insulin often think that they use drugs that may be harmful to the baby. Therefore, this study aimed to examine the perspectives of women diagnosed with gestational diabetes on insulin use using a phenomenological approach. Qualitative research was conducted using phenomenological patterns. The interviews were recorded on an online/face-to-face voice recorder in a semi-structured form, and thematic content analysis was performed using MAXQDA22. Based on the inclusion criteria of the 2 hospitals specific to the study, 15 patients were included, and the study reached saturation. Three main themes and 2 subthemes were obtained from the coding. The main themes were derived from, "fear," "baby protector," and "last remedy" coding. Pregnant women diagnosed with GDM can define gestational diabetes because of the training provided. Because the pregnancy period is sensitive, pregnant women delay control and insulin application for the health of their babies. Moreover, they sometimes experience pain during the injection, and believe that it may harm their babies.


Subject(s)
Diabetes, Gestational , Insulin Resistance , Pregnancy , Female , Humans , Pregnant Women , Insulin/therapeutic use , Exercise
3.
J Infect Public Health ; 13(12): 1988-1992, 2020 Dec.
Article in English | MEDLINE | ID: mdl-32359926

ABSTRACT

BACKGROUND: Dialysis are the treatment modalities that affect the quality of life. The objective of this qualitative study is to reveal how hemodialysis and peritoneal dialysis patients perceive depression and psychological problems which they experience. METHODS: An interpretative phenomenological analysis approach, as espoused by Smith and Osborn provided the framework for this study. The study was performed in hemodialysis and peritoneal dialysis units of a university hospital. 10 adult hemodialysis patients and 10 adult peritoneal dialysis patients, selected. In-depth, semi-structured, face-to-face interviews were held with the patients. All interviews were digitally recorded and subjected to qualitative analysis after transcription. RESULTS: Analysis revealed themes suggesting that hemodialysis and peritoneal dialysis patients frequently experienced depression as well as psychological problems such as decreased social support, burnout, despair, and anxiety. CONCLUSIONS: It was concluded as a result of this study that the prolonged hemodialysis and peritoneal dialysis process negatively affected patients with chronic kidney disorders.


Subject(s)
Kidney Transplantation , Quality of Life , Adult , Depression/therapy , Humans , Peritoneum , Renal Dialysis
4.
Aquichan ; 14(2): 138-147, mayo-ago. 2014.
Article in English | LILACS, BDENF - Nursing, COLNAL | ID: lil-726740

ABSTRACT

Aim: The purpose of the present study in this context was to review the effect two different types of diabetes education being implemented in an actual setting had on the outcome of care (levels of knowledge, self-care agency, A1c, BMI). Methods: Research was carried out as a correlational and descriptive study. The sample was comprised of 391 persons. The data were collected through diabetic assesment forms, diabetes knowledge assessment forms, the Self-care Agency Scale and A1c and BMI assessment forms. Results: The results indicated the type of educational technique was able to affect levels of knowledge by 77%, self-care agency by 76%, A1c levels by 78% and the BMI by 75%. Conclusions: The delivery of individual and group diabetes education, together, is perceived to be a better method of ensuring an individual's effective self-management.


Objetivo: el propósito del presente estudio fue examinar los efectos de las dos técnicas de educación diabética que se estaban implementando en un entorno real sobre los resultados de la atención (los niveles de conocimiento, el manejo del auto - cuidado, A1c , BMI). Métodos: la investigación se llevó a cabo como un estudio correlacional y descriptivo. El muestreo fue compuesto por 391 personas. Los datos se seleccionaron mediante formularios de evaluación diabética, formularios de evaluación de los conocimientos diabéticos, la Escala de Agencia de Autocuidado y formularios de evaluación de Alc y BMI. Resultados: los resultados indicaron que la modalidad de la técnica educativa fue capaz de afectar a los niveles de conocimiento en un 77%, a la agencia de autocuidado en un 76% , a los niveles de A1lc en un 78% y al índice de masa corporal en un 75%. Conclusion: se ve que una combinación de educación diabética individual y grupal es un mejor método para asegurar la autogestión eficaz de un individuo.


Objetivo: o propósito do presente estudo foi examinar os efeitos das duas técnicas de educação diabética que estavam sendo implementadas em um ambiente real sobre os resultados do atendimento (os níveis de conhecimento, o manejo do autocuidado, A1c, BMI). Métodos: a pesquisa foi realizada como um estudo correlacional e descritivo. A amostra foi composta por 391 pessoas. Os dados foram selecionados mediante formulários de avaliação diabética, formulários de avaliação dos conhecimentos diabéticos, a Escala de Agência de Autocuidado e formulários de avaliação de A1c e BMI. Resultados: os resultados indicaram que a modalidade da técnica educativa foi capaz de afetar os níveis de conhecimento em 77%, a agência de autocuidado em 76%, os níveis de A1c em 78% e o índice de massa corporal em 75%. Conclusão: vê-se que uma combinação de educação diabética individual e grupal é o melhor método para garantir a autogestão eficaz de um indivíduo.


Subject(s)
Humans , Self Care , Diabetes Mellitus , Education , Turkey , Body Mass Index , Nursing
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