0245/2013 - Experiencia y percepciones de la diabetes gestacional y su automanejo en un grupo de mujeres multíparas con sobrepeso Experiences, perceptions and self-management of gestational diabetes in a group of overweight multiparous women
• Mayra Lilia Chávez Courtois - Chávez-Courtois, M. - Distrito Federal, Outro País/Another Country - Instituto Nacional de Perinatología - <courml@yahoo.com.mx>
Coautor(es):
• Otilia Perichart Perera - Perichart, O. - Instituto Nacional de Perinatología - <o.perichart@inper.mx>
• Bernarda Sánchez Jimenez - Sánchez, B. - Instituto Nacional de Perinatología - <emiberna20@yahoo.com.mx>
• Georgina Sánchez Miranda - Sánchez, G. - Instituto Nacional de Perinatología - <geosanmi@hotmail.com>
• Irma Romero Pérez - Romero, I. - Instituto Nacional de Perinatología - <armi_rpi@yahoo.com.mx>
La diabetes mellitus gestacional (DMG) es un problema de salud pública en México, cuya primer línea de tratamiento es la dietoterapia. Se requieren habilidades de automanejo (dieta, ejercicio) para el control de la enfermedad. En este trabajo se estudiaron cinco mujeres con DMG, quienes manifestaron su percepción de riesgo de la presencia de la DMG y vivencias en algunas prácticas del autocuidado. Se obtuvieron datos sociodemográficos; se realizaron entrevistas en profundidad, las cuales es analizaron con el paquete Atlas ti V.5. Los resultados demuestran que las mujeres están conscientes del papel que juega la alimentación y la actividad física en mejorar el control de su enfermedad, además de los riesgos perinatales a los que se asocia la DMG. El cumplimiento de las recomendaciones dietéticas en su mayoría fue parcial, pero se demuestran cambios positivos y graduales en el estilo de vida. Las percepciones desde las emociones que les produce la DMG, fue factor clave para que llevaran a cabo la dieta. En conclusión, el tratamiento médico y dietético influye en el comportamiento cultural alimentario de las mujeres con DMG. Los profesionales de la salud deben tomar en cuenta los determinantes socioculturales al diseñar e implementar estrategias de tratamiento para modificar conductas en mujeres con DMG.
Gestational diabetes mellitus (GDM) is a public health problem in Mexico and diet therapy is the main treatment. Self-management abilities (diet, exercise) are needed to control the disease. Five women with GDM were studied to assess GDM risk perception and experiences related with self-management practices. Sociodemographic data was obtained and in depth interviews were done, that were analyzed with the Atlas ti V.5 software. The results demonstrated that women were conscious about the role of diet and physical activity in improving GDM control, and about the perinatal risks associated with the disease. Adherence to diet recommendations was partial, but gradual and positive lifestyle changes were observed. Emotionally, perception about having GDM was a key factor for following the diet. In conclusion, the medical and dietary treatment influences the cultural food behavior in women with GDM. Health professionals should consider sociocultural determinants when designing and implementing treatment strategies to modify behaviors in women with GDM.
Experiences, perceptions and self-management of gestational diabetes in a group of overweight multiparous women
Resumo (abstract):
Gestational diabetes mellitus (GDM) is a public health problem in Mexico and diet therapy is the main treatment. Self-management abilities (diet, exercise) are needed to control the disease. Five women with GDM were studied to assess GDM risk perception and experiences related with self-management practices. Sociodemographic data was obtained and in depth interviews were done, that were analyzed with the Atlas ti V.5 software. The results demonstrated that women were conscious about the role of diet and physical activity in improving GDM control, and about the perinatal risks associated with the disease. Adherence to diet recommendations was partial, but gradual and positive lifestyle changes were observed. Emotionally, perception about having GDM was a key factor for following the diet. In conclusion, the medical and dietary treatment influences the cultural food behavior in women with GDM. Health professionals should consider sociocultural determinants when designing and implementing treatment strategies to modify behaviors in women with GDM.
Chávez-Courtois, M., Perichart, O., Sánchez, B., Sánchez, G., Romero, I., Graham, Ch.. Experiencia y percepciones de la diabetes gestacional y su automanejo en un grupo de mujeres multíparas con sobrepeso. Cien Saude Colet [periódico na internet] (2013/jun). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/experiencia-y-percepciones-de-la-diabetes-gestacional-y-su-automanejo-en-un-grupo-de-mujeres-multiparas-con-sobrepeso/13139?id=13139&id=13139
