Mal J Nutr 21(3): 393 - 399, 2015

Perspectives of Healthcare Professionals and Patients on Management of Gestational Diabetes Mellitus: A Qualitative Study in Negeri Sembilan, Malaysia
Nur Suraiya AHS1, Zahara AM1, Nazlena MA2, Suzana S1, Norazlin MI3 & Sameeha MJ4

ABSTRACT

Introduction: Understanding the perceptions of healthcare professionals and patients regarding gestational diabetes mellitus (GDM) is important for optimal pregnancy outcomes. This study aimed to identify the problems faced by healthcare professionals in the management of GDM and the patients' perspectives as well.
Methods: Two focus groups consisting of thirteen pregnant women diagnosed with GDM at 20-28 weeks of gestation and sixteen healthcare professionals were interviewed using a semi-structured questionnaire. The subjects were recruited purposively from a public health clinic in Negeri Sembilan, Malaysia. Audio recordings were made of the interview sessions and transcribed verbatim before being assessed independently by two researchers. The NVivo 10.0 programme was used to extract key themes.
Results: Five emergent themes consisting of views from both groups of subjects were identified. They were: (1) perceived patients' non-adherence to medical advice versus patients' own negligence; (2) poor appetite control versus patients' poor temptation control; (3) patients' lack of knowledge versus confusing information provided by healthcare staff; (4) patients 'giving up' versus being in a non-supportive environment; and (5) patients being in denial versus the disappointment when required to control diet.
Conclusion: This study revealed conflicting perspectives between pregnant mothers with GDM and the healthcare staff in managing these patients. There is a need to promote positive communication between healthcare staff and patients for a better understanding of the needs of GDM patients.

Keywords: Barriers, Gestational Diabetes Mellitus, pregnancy, qualitative study, self-management

Download full article

March 1995, Vol1 No.1
September 1995, Vol1 No.2
March 1996, Vol2 No.1
September 1996, Vol2 No.2
March 1997, Vol3 No.1
September 1997, Vol3 No.2
December 1998, Vol4 No.1&2
December 1999, Vol5 No.1&2
March 2000, Vol6 No.1
September 2000, Vol6 No.2
Mar/Sept 2001, Vol7 No.1&2
March 2002, Vol8, No.1
September 2002, Vol8, No.2
March 2003, Vol9 No.1
September 2003, Vol9 No.2
March 2004, Vol10 No.1
September 2004, Vol10 No. 2
2005, Vol 11 No.1
2005, Vo l11 No.2
2006, Vol 12 No.1
2006, Vol 12 No.2
2007, Vol 13 No.1
2007, Vol 13 No.2
March 2008, Vol 14 No.1
2008, Vol 14 No.2
2009, Vol 15 No.1
2009, Vol 15 No.2
2010, Vol 16(1)

2010, Vol 16(2)

2010, Vol 16(3)

2011, Vol 17(1)

2011, Vol 17(2)

2011, Vol 17(3)

2012, Vol 18(1)

2012, Vol 18(2)

2012, Vol 18(3)

2013, Vol 19(1)

2013, Vol 19(2)

2013, Vol 19(3)

2014, Vol 20(1)

2014, Vol 20(2)

2014, Vol 20(3)

2015, Vol 21(1)

2015, Vol 21(2)

2015, Vol 21(3)

2016, Vol 22(1)

2016, Vol 22(2)

2016, Vol 22 Supplement

2016, Vol 22(3)

2017, Vol 23(1)

2017, Vol 23(2)