Gestasyonel diyabet taramasında karşılaşılan önemli bir problem: Gebeler neden oral glukoz tolerans testi yaptırmak istemiyor?
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Dosyalar
Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Duzce Univ
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Gebelerin, gestasyonel diabetes mellitus (GDM) taraması için kullanılan 75g oral
glukoz tolerans testini (OGTT) yaptırmasında etkili olan faktörleri incelemeyi amaçladık.
Gereç ve Yöntem: Çalışmaya Düzce Üniversitesi Tıp Fakültesi Hastanesi antenatal takip
polikliniğine baş vuran ve GDM taraması için 75 g OGTT yaptırmayı kabul eden 129 ve
GDM taraması için 75 g OGTT yaptırmayan 133 olmak üzere toplam 262 gebe dahil edildi.
Gebelerin demografik özellikleri, eğitim düzeyleri ve gelir seviyeleri araştırıldı.
Bulgular: OGTT yapılan grupta GDM sıklığı %7.9’du (n=10). OGTT yaptıran grupta VKİ
daha yüksekti ve gruplar arasındaki fark istatistiksel olarak anlamlıydı (29.17 ± 5.67 vs.
26.93 ± 4.02; p= 0.003). Gruplar eğitim seviyeleri açısından karşılaştırıldığında, OGTT
yaptıran grupta yalnızca okur-yazar olan gebelerin oranı daha yüksekti (8.5% vs. 0;
p=0.004). OGTT yaptırmayan grupta bunun en sık nedeni 57.8% oranında testin bebeğe
zarar vereceği endişesiydi (n=77), ikinci sıklıkta bu testin özellikle görsel medyada yer alan
bazı sağlık personelleri tarafından önerilmemesi geliyordu (30.8%, n=41).
Sonuç: Son yıllarda gebelerin GDM taraması için OGTT yaptırma oranları düşmektedir.
Bunun başlıca nedenleri arasında özellikle görsel medyada var olan bilgi kirliliği ve
gebelerin sağlık personeli tarafından yeterinde bilgilendirilmemesi gösterilebilir. Bu nedenle
sağlık bakımını sağlayan tüm paydaşlar tarafından prekonsepsiyonel dönemden başlayarak
gebelik esnasında halkın yanlış bilgi edinmesinin önüne geçecek programlar ortaya koymalı
ve bu konudaki bilgi kirliliğinin ortadan kaldırılmalıdır
Objective: We aimed to examined to factors influencing of 75g oral glucose tolerance test (OGTT) for gestational diabetes mellitus (GDM) screening by pregnant women. Methods: A total of 262 pregnant women who attended antenatal follow-up polyclinic of Düzce University Medical Faculty were included in the study; 129 who admitted 75g OGTT for GDM scan and 133 who refused 75g OGTT for GDM scan. Demographic characteristics, educational levels and income levels of the pregnant women were investigated. Results: The frequency of GDM in the OGTT group was 7.9% (n=10). BMI was higher in the OGTT group and the difference between the groups was statistically significant (29.17 ± 5.67 vs. 26.93 ± 4.02; p= 0.003). When the groups were compared in terms of educational levels, the rate of only literate women was higher in the OGTT group (8.5% vs. 0; p=0.004). The most common reason in the group without OGTT was the concern that the test would be harmful to the baby with 57.8% rate (n=77), the second reason was that the test was not recommended by some health professionals especially on visual media (30.8%, n=41). Conclusion: There has been a decrease in the rates of having OGTT for GDM scan by pregnant women in recent years. Information pollution, especially in the visual media and insufficient information provided by health professionals are considered as the main reasons for this situation. Therefore, all healthcare providers should start programs that would prevent misinformation during pregnancy starting from the preconceptional period and the information pollution on this issue should be removed
Objective: We aimed to examined to factors influencing of 75g oral glucose tolerance test (OGTT) for gestational diabetes mellitus (GDM) screening by pregnant women. Methods: A total of 262 pregnant women who attended antenatal follow-up polyclinic of Düzce University Medical Faculty were included in the study; 129 who admitted 75g OGTT for GDM scan and 133 who refused 75g OGTT for GDM scan. Demographic characteristics, educational levels and income levels of the pregnant women were investigated. Results: The frequency of GDM in the OGTT group was 7.9% (n=10). BMI was higher in the OGTT group and the difference between the groups was statistically significant (29.17 ± 5.67 vs. 26.93 ± 4.02; p= 0.003). When the groups were compared in terms of educational levels, the rate of only literate women was higher in the OGTT group (8.5% vs. 0; p=0.004). The most common reason in the group without OGTT was the concern that the test would be harmful to the baby with 57.8% rate (n=77), the second reason was that the test was not recommended by some health professionals especially on visual media (30.8%, n=41). Conclusion: There has been a decrease in the rates of having OGTT for GDM scan by pregnant women in recent years. Information pollution, especially in the visual media and insufficient information provided by health professionals are considered as the main reasons for this situation. Therefore, all healthcare providers should start programs that would prevent misinformation during pregnancy starting from the preconceptional period and the information pollution on this issue should be removed
Açıklama
WOS: 000441304600003
Anahtar Kelimeler
Gestational Diabetes Mellitus, Oral Glucose Tolerance Test, Pregnancy Complications
Kaynak
Konuralp Tıp Dergisi
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
10
Sayı
2
