دورية أكاديمية
The Examination and Exploration of Diabetes Distress in Pre-existing Diabetes in Pregnancy: A Mixed-methods Study.
| العنوان: | The Examination and Exploration of Diabetes Distress in Pre-existing Diabetes in Pregnancy: A Mixed-methods Study. |
|---|---|
| المؤلفون: | Tschirhart H; School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada. Electronic address: tschirh@mcmaster.ca., Landeen J; School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada., Yost J; M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, United States., Nerenberg KA; Department of Medicine, University of Calgary, Calgary, Alberta, Canada; Department of Obstetrics and Gynecology, University of Calgary, Calgary, Alberta, Canada; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada., Sherifali D; School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada. |
| المصدر: | Canadian journal of diabetes [Can J Diabetes] 2024 Jul; Vol. 48 (5), pp. 281-289.e2. Date of Electronic Publication: 2024 Mar 15. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Canadian Diabetes Association Country of Publication: Canada NLM ID: 101148810 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-3840 (Electronic) Linking ISSN: 14992671 NLM ISO Abbreviation: Can J Diabetes Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Toronto : Canadian Diabetes Association, 2002- |
| مواضيع طبية MeSH: | Diabetes Mellitus, Type 2*/psychology , Diabetes Mellitus, Type 2*/epidemiology , Diabetes Mellitus, Type 2*/complications, Humans ; Female ; Pregnancy ; Cross-Sectional Studies ; Adult ; Pregnancy in Diabetics/psychology ; Pregnancy in Diabetics/epidemiology ; Diabetes Mellitus, Type 1/psychology ; Diabetes Mellitus, Type 1/complications ; Diabetes Mellitus, Type 1/epidemiology ; Stress, Psychological/epidemiology |
| مستخلص: | Objectives: Diabetes distress (DD) has been understudied in the pregnancy population. Pregnancy is known to be a complex, highly stressful time for women with diabetes because of medical risks and the high burden of diabetes management. Our aim in this study was to explain and understand DD in women with pre-existing diabetes in pregnancy. Methods: An explanatory, sequential mixed-methods study was undertaken. The first strand consisted of a cross-sectional study of 76 women with type 1 and type 2 diabetes. A nested sampling approach was used to re-recruit 18 women back into the second strand for qualitative interviews using an interpretive description approach. Results: DD was measured by the validated Problem Area in Diabetes (PAID) scale. A PAID score of ≥40 was positive for distress. DD prevalence was 22.4% in the cross-sectional cohort and the average PAID score was 27.75 (standard deviation 16.08). In the qualitative strand, women with a range of PAID scores (10.0 to 60.0) were sampled for interviews. The majority of these participants described themes of DD in their interviews. Of the 15 women who described DD thematically, only 6 had positive PAID scores. Conclusions: Integration of the mixed-methods data underscores important meta-inferences about DD in pregnancy, namely that DD was present to a greater degree than the PAID tool is sensitive to. DD was present qualitatively in most of the qualitative sample, despite interviewing women with a range of PAID scores. Future research on a pregnancy-specific DD scale is needed. (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: description interprétative; diabetes distress; diabète de type 1; diabète de type 2; détresse liée au diabète; grossesse; interpretive description; mixed-methods health research; méthodes mixtes de recherche sur la santé; pregnancy; type 1 diabetes; type 2 diabetes |
| تواريخ الأحداث: | Date Created: 20240316 Date Completed: 20240720 Latest Revision: 20240720 |
| رمز التحديث: | 20240722 |
| DOI: | 10.1016/j.jcjd.2024.03.001 |
| PMID: | 38492737 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 2352-3840 |
|---|---|
| DOI: | 10.1016/j.jcjd.2024.03.001 |