Decision-making behavior of blood glucose management and its influencing factors in pregnant women with gestational diabetes mellitus
Abstract Background Currently, most studies only focus on the glucose management level and self- management behavior of pregnant women with gestational diabetes mellitus, but lack analysis and discussion on their decision-making behavior and influencing factors during glucose management. Aim This st...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-025-07207-w |
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| author | Shuai Xu Jing Wang Yan Wang Dawei Wang Meng Zhang |
| author_facet | Shuai Xu Jing Wang Yan Wang Dawei Wang Meng Zhang |
| author_sort | Shuai Xu |
| collection | DOAJ |
| description | Abstract Background Currently, most studies only focus on the glucose management level and self- management behavior of pregnant women with gestational diabetes mellitus, but lack analysis and discussion on their decision-making behavior and influencing factors during glucose management. Aim This study aimed to investigate the decision-making behavior of blood glucose management and its influencing factors among pregnant women with gestational diabetes mellitus in China. Methods This was a prospective study. A convenience sampling method was used to select pregnant women with gestational diabetes mellitus. A total of 1,405 pregnant women with gestational diabetes mellitus from eight hospitals in China were included between June 1 and December 31, 2023. Three types of questionnaires on knowledge, protection motivation, and decision-making behavior regarding blood glucose management were administered to participants. Multivariable logistic regression was conducted to determine the decision-making behavior of blood glucose management and its influencing factors (P<0.05). Results The mean score of the glucose management knowledge was 39.56 ± 8.45 points (standard score 65.9%). The score for decision-making behavior was 70.05 ± 9.85 points (standard score 93.4%). Most dimensions of protection motivations were higher than 20 points (standard score 80.0%). Conclusions The mean score for glucose management knowledge was at a medium score level. Most dimensions of protection motivations were at a high or medium score level. The decision-making behavior was at a high score level. The pregnant women with rich glucose management knowledge and protection motivation are more likely to take active decision-making behaviors and actively manage their blood glucose levels. The influencing factors of decision-making behavior included length of time after diagnosed with gestational diabetes mellitus, gestational diabetes mellitus history, self-efficacy, severity, susceptibility, response efficacy, and response costs (P<0.05, for all). |
| format | Article |
| id | doaj-art-3b2910cdfe38426eb5e1ce55c8bb4d61 |
| institution | Kabale University |
| issn | 1471-2393 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj-art-3b2910cdfe38426eb5e1ce55c8bb4d612025-02-02T12:46:47ZengBMCBMC Pregnancy and Childbirth1471-23932025-01-0125111010.1186/s12884-025-07207-wDecision-making behavior of blood glucose management and its influencing factors in pregnant women with gestational diabetes mellitusShuai Xu0Jing Wang1Yan Wang2Dawei Wang3Meng Zhang4Department of Pediatric Organ Transplantation, the Affiliated Hospital of Qingdao UniversityDepartment of Obstetrics, the Affiliated Hospital of Qingdao UniversityDepartment of Obstetrics, the Affiliated Hospital of Qingdao UniversityDepartment of Obstetrics, the Affiliated Hospital of Qingdao UniversityDepartment of Obstetrics, the Affiliated Hospital of Qingdao UniversityAbstract Background Currently, most studies only focus on the glucose management level and self- management behavior of pregnant women with gestational diabetes mellitus, but lack analysis and discussion on their decision-making behavior and influencing factors during glucose management. Aim This study aimed to investigate the decision-making behavior of blood glucose management and its influencing factors among pregnant women with gestational diabetes mellitus in China. Methods This was a prospective study. A convenience sampling method was used to select pregnant women with gestational diabetes mellitus. A total of 1,405 pregnant women with gestational diabetes mellitus from eight hospitals in China were included between June 1 and December 31, 2023. Three types of questionnaires on knowledge, protection motivation, and decision-making behavior regarding blood glucose management were administered to participants. Multivariable logistic regression was conducted to determine the decision-making behavior of blood glucose management and its influencing factors (P<0.05). Results The mean score of the glucose management knowledge was 39.56 ± 8.45 points (standard score 65.9%). The score for decision-making behavior was 70.05 ± 9.85 points (standard score 93.4%). Most dimensions of protection motivations were higher than 20 points (standard score 80.0%). Conclusions The mean score for glucose management knowledge was at a medium score level. Most dimensions of protection motivations were at a high or medium score level. The decision-making behavior was at a high score level. The pregnant women with rich glucose management knowledge and protection motivation are more likely to take active decision-making behaviors and actively manage their blood glucose levels. The influencing factors of decision-making behavior included length of time after diagnosed with gestational diabetes mellitus, gestational diabetes mellitus history, self-efficacy, severity, susceptibility, response efficacy, and response costs (P<0.05, for all).https://doi.org/10.1186/s12884-025-07207-wBlood glucose managementDecision-making behaviorGestational diabetes mellitusPregnant womanProtection motivation theory |
| spellingShingle | Shuai Xu Jing Wang Yan Wang Dawei Wang Meng Zhang Decision-making behavior of blood glucose management and its influencing factors in pregnant women with gestational diabetes mellitus BMC Pregnancy and Childbirth Blood glucose management Decision-making behavior Gestational diabetes mellitus Pregnant woman Protection motivation theory |
| title | Decision-making behavior of blood glucose management and its influencing factors in pregnant women with gestational diabetes mellitus |
| title_full | Decision-making behavior of blood glucose management and its influencing factors in pregnant women with gestational diabetes mellitus |
| title_fullStr | Decision-making behavior of blood glucose management and its influencing factors in pregnant women with gestational diabetes mellitus |
| title_full_unstemmed | Decision-making behavior of blood glucose management and its influencing factors in pregnant women with gestational diabetes mellitus |
| title_short | Decision-making behavior of blood glucose management and its influencing factors in pregnant women with gestational diabetes mellitus |
| title_sort | decision making behavior of blood glucose management and its influencing factors in pregnant women with gestational diabetes mellitus |
| topic | Blood glucose management Decision-making behavior Gestational diabetes mellitus Pregnant woman Protection motivation theory |
| url | https://doi.org/10.1186/s12884-025-07207-w |
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