The psychosocial challenges associated with gestational diabetes mellitus: A systematic review of qualitative studies |
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| Institution: | 1. Midwifery Department, Nursing & Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;2. Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;3. Department of Obstetrics and Gynecology, School of Medicine, Fertility, Infertility and Perinatology Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;4. Reproductive Health Promotion Research Center, Midwifery and Reproductive Health Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;5. Department of Endocrinology and Metabolism, Faculty of Medicine, Diabetes Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;6. Department of Psychology, Faculty of Education and Psychology, University of Tabriz, Tabriz, Iran;1. Department of Pediatrics, Division of Nephrology, Rush University Medical Center, Chicago, Illinois, United States;2. Department of Pediatrics, Section of Nephrology, Semnan University of Medical Science, Semnan, Iran;1. Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, 1665 University Blvd, Birmingham AL, 35294, United States;2. Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1665 University Blvd, Birmingham AL, 35294, United States;3. School of Medicine, Vanderbilt University, 2209 Garland Ave, Nashville TN, 37232, United States;4. Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, 1717 11th Avenue South, Birmingham AL, 35205, United States;5. Division of Cardiovascular Medicine, School of Medicine, University of Utah, Salt Lake City, UT, United States;1. Department of Population Medicine, College of Medicine, QU Health, Qatar University, Doha, Qatar;2. Division of Endocrinology and Qatar Metabolic Institute, Hamad Medical Corporation, Doha, Qatar;3. Department of Endocrinology, Marshfield Clinic Health System –Weston Center, Weston, WI, USA;4. Marshfield Clinic Research Institute, Marshfield, WI, USA;5. Endocrinology and Diabetes Services Division, Sidra Medicine, Qatar Foundation, Doha, Qatar;6. UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, Australia;7. Mater Research and The University of Queensland, Brisbane, Queensland, Australia;1. The University of Queensland, Level 3, Chamberlain (Building 35), St Lucia 4072, Australia;2. The University of Queensland, Brisbane, Australia |
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| Abstract: | BackgroundGestational 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.MethodThis 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.ResultsOut 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.ConclusionRecognizing the psychosocial challenges associated with gestational diabetes and developing support packages tailored to psychosocial needs can help improve the management of these patients. |
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| Keywords: | Gestational diabetes mellitus Psychosocial challenges Systematic review Qualitative studies |
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