ประสบการณ์การควบคุมระดับน้ำตาลในเลือดของสตรีที่เป็นเบาหวานจากการตั้งครรภ์ในพื้นที่กลุ่มกรุงเทพตะวันออก

Jarupa Chirasopone; Ratana Charuwanno

Authors

Jarupa Chirasopone Faculty of Nursing, Kasem Bundit University
Ratana Charuwanno Faculty of Nursing, Kasem Bundit University

Keywords:

experience of glycemic control, gestational diabetes mellitus, Eastern Area of Bangkok

Abstract

This qualitative study explored the experiences of glycemic control among women with gestational diabetes mellitus (GDM) in Eastern Bangkok. Twenty pregnant women at 24 weeks of gestation or more, diagnosed with GDM based on at least two abnormal values in the Oral Glucose Tolerance Test (OGTT), and receiving antenatal care at hospitals in the Bangkok Metropolitan Region between January and October 2024, participated in the study. Twenty informants were purposively selected. Data were collected through individual in-depth interviews conducted by the principal investigator, using research instruments developed by the investigator: (1) a personal data record form, (2) a semi-structured interview guide, and (3) a field note form. Content validity was assessed by three experts, with item-objective congruence (IOC) scores of .875, .875, and .937. Qualitative data were analyzed using thematic analysis and methodological triangulation.

The research finds that four major themes: 1) confronting emotional distress following a diagnosis of GDM, 2) self-management strategies for living with GDM, 3) navigating barriers to optimal glycemic control, and 4) Driven by motherhood: Doing everything for the well-being of the child. These findings can inform policy development, guide the design of self-management promotion programs, and support the development of clinical care practices to maintain optimal blood glucose control among women with GDM in the Thai context, thereby ensuring systematic and continuous quality of care.

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