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所在平台: Udemy |
课程主页: https://www.udemy.com/course/gestational-diabetes-mellitus-theory-of-reasoned-action/
课程评论:没有评论
本课程专注于妊娠期糖尿病(GDM)孕妇的行为研究,并将其与“合理行为理论”(Theory of Reasoned Action, TRA)相结合。 **课程目标:** * 通过TRA理论,识别影响GDM孕妇行为的关键因素,以改进对这些孕妇的干预措施,促进其健康决策和整体福祉。 * 为GDM孕妇提供一个理论化的视角,以了解和改善其血糖控制。 **理论基础与方法:** * TRA理论被广泛应用于行为研究,旨在预测和理解个体行为。本课程将其应用于GDM孕妇,识别能够解释其行为(如血糖控制)的少数关键变量。 * 课程将行为分解为“行动、情境、目标和时间”四个维度,并探讨这些维度之间的相互作用如何影响行为。 * 研究方法基于TRA模型,旨在理解GDM孕妇在维持理想血糖控制方面遇到的问题和需求。 **课程意义与讨论:** * 本课程为GDM孕妇的现有文献提供了延伸,并可能成为首个利用TRA理论分析GDM孕妇行为模式、运动以及实现理想血糖控制的研究。 * 讨论强调,行为会受情境、目标和时间等因素影响。例如,仅控制饮食和运动与结合使用胰岛素或其他降糖药物是不同的行为,取决于GDM孕妇的个体需求。 **结果与结论:** * 孕前和孕期指导对减少流产和胎儿畸形至关重要。 * 血糖水平的正常化是治疗的关键。连续血糖监测优于自我监测,但现代监测方式的地位仍需明确。 * 治疗GDM最常见的方法是每日两次注射胰岛素。口服降糖药因潜在致畸性和胎盘葡萄糖转运问题而不被推荐。 * GDM孕妇可能缺乏必要的技能、知识,或面临内在/外在障碍,阻碍其依从性。干预应侧重于技能培养或克服障碍,而非仅改变态度或传授知识。 **未来建议:** * 计算餐后血糖流的计算方法改进和闭环系统可能有助于降低后期巨月龄儿的风险。 * 需要更好地理解并应用现有行为理论,尤其是传播学理论,以解决孕妇接受信息和改变态度的因素,这对促进孕妇健康至关重要。 **关键词:** 妊娠期糖尿病;合理行为理论;孕前糖尿病;筛查;诊断;怀孕。
Background: Diabetes mellitus is a collection of metabolic troubles described by a chronic hyperglycemic situation generating from troubles in insulin action, insulin secretion or both. Gestational diabetes mellitus influences within 2% and 5% of women in pregnancy. From the beginning of TRA in behavioral survey, it has been utilized to study a broad diversity of situations and is at present considered as one of the extreme influential theories concerning volitional individual behavior.The Aim of this Course: I recognize that it is secure to tell that almost everybody reading this course would like to improve interventions for pregnant women to develop medical choice creation and the public's well-being.In the present course, I depict a theoretical tactic to the prognosis and perception of pregnant women behavior with a vision to its implementation in health and medical situations. What the reasoned action tactic tries to perform is to recognize a relatively small collection of variables that can be considered for a prime proportion of the variation in any offered behavior concerning pregnant women with Gestational Diabetes Mellitus (GDM).Significance of the Course: Laboratory or clinical measures are utilized to draw a frontier between non-disease and disease. Where potential, the condition is depicted in expressions of the causal factor or procedure; when this is not potential, the trouble is determined in expressions of its footprints (for example histological alteration or functional trouble) or its prognostic involvements.The simplification of action, context, target, and time is to some extant qualitative. For instance, assume one was concerned in anticipating whether a pregnant woman with GDM will always have an appropriate glycemic control in the period of pregnancy or not. More specifically, suppose that within months from now, we ask a pregnant woman with GDM whether she did or did not always follow her physician's directions accurately during the past months.Method: The present course improved and tested a pattern established on the TRA to grasp the troubles that occur with pregnant women who have GDM and their demand for ideal glycemic control. Theory of Reasoned Action, anyway, is a chain of related notions and hypotheses supposed by public psychologists to foresee and to comprehend individual behavior.Commonly speaking, my course renders as an extension for the current literature concerning pregnant women with GDM. In spite of the truth that TRA was widely utilized to debate the motive of different reasoned actions, my course might become a pioneer in utilizing TRA to debate the behavioral pattern for pregnant women with GDM exercises and discussing the pertinence of TRA established on available data to accomplish ideal glycemic control, and thus far promoting pregnant women's health.Discussion: Regardless of how one selects to determine a behavior, the time that behavior has been determined, a reasoned action tactic proposes that an alteration in any one of the previous elements - action, context, target, and time - alters the behavior under contemplation. Thence, from this side, one does not accomplish the similar behavior in various contexts but alternatively performs various behaviors. For instance, following a particular diet and performing physical activity is a very various behavior than following a particular diet and performing physical activity together with taking insulin or any other anti-diabetic agents. This actually depends on what the pregnant woman with GDM needs to have an ideal glycemic control.Results and Conclusion: Preconception patronage and pregestational guidance can reduce the average of spontaneous abortion and fetal distortion. Efforts to normalise concentrations of blood glucose in pregnant patients began to be the backbone of therapy. Persistent glucose observation can present preferable insights inside the glycemic side view than self-observation of blood glucose standards via the patients but the position of these modern observation modes has yet to be accomplished more obviously.The most widely utilized regime for patients with gestational or pregestational diabetes is taking insulin two times a day, the morning dose including two thirds of the overall daily insulin and as well, the afternoon dose including one third of the overall daily insulin. Usage of oral hypoglycemic medications to cure GDM has not been advocated because of worries concerning possible teratogenicity and glucose transmission across the placenta (Leading to extended neonatal hypoglycemia).The issue is either that pregnant women with GDM do not own the substantial skills, abilities and knowledge or that there are inner or exterior obstacles prohibiting them from performing on their intentions. However, in these situations, the suitable interference is not one outlined to alter attitudes or to impart awareness but one guided at skills constructing or at assisting them evade or overcome obstacles.Future Recommendation: Improvements in computational accesses for counting postprandial glucose flows and the improvement of closed loop frameworks may present further tools to target for additional decrease in danger of macrosomia in later decades.Let me propose that we do inform what we own to perform in order to alter an attitude. That is, we can determine the opinions which would have to be strengthened or altered in order to support or change an offered behavior. In that significance, we really do not demand modern behavioral theories. Anyway, what we do demand, is for commune to better grasp and to properly utilize current theory. Even more essential, we demand preferable theories of communication impacts. Particularly, we demand to grasp the factors affecting whether an offered piece of data will be rejected or accepted. Whoever finds this out will manufacture an actual contribution to develop the pregnant women's health!Commonly speaking, my course renders as an extension for the current literature concerning pregnant women with GDM. In spite of the truth that TRA was widely utilized to debate the motive of different reasoned actions, my course might become a pioneer in utilizing TRA to debate the behavioral pattern for pregnant women with GDM exercises and discussing the pertinence of TRA established on available data to accomplish ideal glycemic control, and thus far promoting pregnant women's health.Keywords: Gestational Diabetes Mellitus; Theory of Reasoned Action; Pregestational Diabetes; Screening; Diagnosis; and Pregnancy.