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  • 1.
    Ge, Li
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Women's call for caring care: perspectives of Chinese women with gestational diabetes mellitus about beliefs, self-care behavior, quality of care and lived experience2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the thesis was to explore the perspectives of Chinese women with gestational diabetes mellitus (GDM) focused on their beliefs about health and illness and self-care behavior, the quality of care in China, and their lived experience.                

          All the studies were conducted with qualitative methodology using individual interviews. Data were collected in obstetric clinics or wards at three different hospitals or the participants’ workplaces in the south east of China. Content analysis, according to Mayring, was used for data analysis in Study І (15 interviews) and Study II (17 interviews). Content analysis, according to Graneheim & Lundman, was used for data analysis in Study III (44 interviews). In Study IV (18 interviews), data were analyzed by using phenomenological hermeneutics, according to Lindseth & Norberg. 

        Three styles of beliefs about GDM among the Chinese women were explored in the thesis: GDM should be considered seriously; GDM was not a severe illness; and GDM was nothing to worry about. Correspondingly, three self-care behavior models were revealed: women strove to control GDM, and maintained their blood glucose values at a normal level; or women tried to control GDM based on the knowledge they received, but some of them felt helpless because the blood glucose level could not be maintained within the normal range; or women almost ignored GDM. They mainly sought help from professional sector and popular sector, and regarded health professionals and husbands as important people. They showed, however, that they sought a balance between following professionals’ advice and avoiding practical difficulties, which demonstrated the influence of health professionals, people around, and Chinese culture. The thesis highlighted a lack of knowledge, a lower level of risk awareness and poor self-care behavior among the women with GDM, as well as a lack of professional care resources for GDM and the lack of high-quality personalized care for the women. The core problem could be an resource imbalance between over-stretched hospitals and low-efficiency under-utilized primary healthcare centers. Their lived experience showed an eagerness to be cared for.

        The thesis highlighted women’s call for caring care in China. The care of GDM for these women can most likely be improved by reform of clinical practice, particularly in primary healthcare services. It is necessary to increase the number of health professionals and material resources to a reasonable level, and to strengthen caring care in China.

  • 2.
    Ge, Li
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Fujian University of Traditional Chinese Medicine, China.
    Albin, Björn
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hadziabdic, Emina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hjelm, Katarina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Beliefs about health and illness and health-realted behavior among urban women with gestational diabetes mellitus in the south east of China2016In: Journal of Transcultural Nursing, ISSN 1043-6596, E-ISSN 1552-7832, Vol. 27, no 6, p. 593-602Article in journal (Refereed)
    Abstract [en]

    Purpose: The incidence of gestational diabetes among Chinese women is 4.3%. No study has previously been conducted about beliefs and health-related behavior among urban Chinese women with this disease. This article aims to explore beliefs about health and illness and health-related behavior among women in this group in a Chinese sociocultural context.

    Design: A qualitative exploratory study was conducted and semistructured individual interviews (n = 15) were processed by content analysis.

    Results: Beliefs about health and illness among these women were foremost attributed to the individual, social, and natural worlds. They feared the negative influence of gestational diabetes, but some of them believed in “letting nature take its course” and “living in the present.” Their care-seeking behavior varied between the professional, popular, and folk sectors. They sought a balance between following professionals’ advice and avoiding practical difficulties.

    Conclusion: The beliefs and health-related behavior among them were influenced by Chinese culture, which can sometimes but not always reduce the effect of the disease.

  • 3.
    Ge, Li
    et al.
    Fujian University of Traditional Chinese Medicine .
    Chow, Judy
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Higher Nursing Education in Sweden2007In: CHINESE JOURNAL OF NURSING EDUCATION, ISSN 1672-9234, Vol. 4, no 5, p. 235-236Article in journal (Refereed)
    Abstract [zh]

     2005年9月和2006年10月,笔者应瑞典韦克舍大学 Växjö University)的邀请,先后两次赴瑞典韦克舍讲学.在讲学期间,对瑞典韦克舍大学健康科学和社会工作学院、韦克舍中心医院、社区医院及老人院进行参观、学习与研讨,其护理教育给我们留下深刻的印象

  • 4.
    Ge, Li
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Nursing College of Fujian University of Traditional Chinese Medicine, China.
    Wikby, Kerstin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    ‘Is gestational diabetes a severe illness?’: exploring beliefs and self‐care behaviour among women with gestational diabetes living in a rural area of the south east of China2016In: The Australian journal of rural health, ISSN 1038-5282, E-ISSN 1440-1584, Vol. 24, no 6, p. 378-384Article in journal (Refereed)
    Abstract [en]

    Objective: This study explores beliefs about illnessand health and self-care behaviour among womenwith gestational diabetes living in a rural area of thesouth east of China.Design: A qualitative exploratory study using semistructuredinterviews and qualitative content analysis.

    Setting: A hospital located in the outskirts of a city inthe south east of China.Participants: Seventeen women with gestational diabetesin 34–38th pregnant weeks.

    Results: The beliefs about gestational diabetes amongthe women in the present study were found to be bidirectional.Some of them feared the illness and its negativeinfluence on health, while others believed that itwas not a severe illness and disbelieved the diagnosisof gestational diabetes. They related their illness andhealth to the individual, social and natural factors.They mainly sought help from the professional sector,but did not fully comply with the professionals’advice. Diet control and exercise were their main selfcaremeasures, but none of them self-monitored theirblood glucose. They demonstrated their misunderstandingabout diet control and self-monitoring ofblood glucose.

    Conclusions: This study highlighted the serious lackof knowledge, lower level of risk awareness and poorself-care behaviour among women in this group.Health professionals were found to be the most importantsource of knowledge about gestational diabetesfor these women. The influence of Chinese culture was demonstrated. Gestational diabetes among thesewomen can most likely be improved by training thehealth professionals and by health education involvingindividuals, families and the rural communities.

  • 5.
    Ge, Li
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Nursing College of Fujian University of Traditional Chinese Medicine, China.
    Wikby, Kerstin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Quality of care from the perspective of women with gestational diabetes in China2016In: International Journal of Gynecology & Obstetrics, ISSN 0020-7292, E-ISSN 1879-3479, Vol. 134, no 2, p. 151-155Article in journal (Refereed)
    Abstract [en]

    Objective: To explore the quality of gestational diabetes mellitus (GDM) care experienced by women in China and how it could be improved.

    Methods: A qualitative study was conducted at a municipal hospital in south east China. Women who had been diagnosed with GDMat 34–38 weeks of pregnancy were enrolled during two periods;between May 1 and July 31, 2012, and between April 1 and July 31, 2013. Data regarding patient-perceived care quality were collected through semi-structured individual interviews and were analyzed by qualitative content analysis.

    Results: The study enrolled 44 patients; the interviews recorded a lack of professional care resources for GDM, a lack of high-quality personalized care for women with GDM, and patients’ suggestions regarding how to improve GDM care.

    Conclusion: The participants reported a lack of high-quality GDM care, describing the core problem as an imbalance between over-stretched hospitals and low-efficiency under-utilized primary healthcare centers. Clinical-practice reforms identified, particularly in primary healthcare settings, included improving services through increasing the number of health professionals and material resources to comply with diabetes guidelines, and incorporating a humanistic approach in the provision of care

  • 6.
    Ge, Li
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Zhang, Suying
    The attached hospital of Fujian University of Traditional Chinese Medicine.
    Chen, Jinxiu
    Fujian University of Traditional Chinese Medicine.
    Xuemei, Yang
    Fujian University of Traditional Chinese Medicine.
    Xiaoyun, Zheng
    Fujian University of Traditional Chinese Medicine.
    Liqun, Yao
    Fujian University of Traditional Chinese Medicine.
    Albin, Björn
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    The Investigation and Analysis on Chinese Medicine Constitution Types of Pregnant Metaphase Women in Fuzhou2013In: Chinese General Practice, ISSN 1007-9572, Vol. 16, no 6A, p. 1920-1922Article in journal (Refereed)
    Abstract [en]

    AbstractObjective To investigate and analyze the Chinese medicine constitution types of pregnant metaphase women in Fuzhou of China. Methods Cross-sectional study and stratified sampling were used. A scale, <Classification and Determination of Constitution in TCM>, was as a tool for investigation. 1000 scale copies were handed out. 989 scale copies were got after excluding the scale copies with logic error. Constitution types were described by constituent ratio. Results In Fuzhou, the Chinese medicine constitution types of pregnant metaphase women were as following: Yang-deficiency type was 28.5%, damp-heat type was 25.5%, Yin-deficiency type was 25.2%, Qi-depression type and Qi-deficiency type were 23.1% respectively, gentleness type was 20.2%, stasis type was 19.1%, phlegm type was 10.9%, and special intrinsic type was 7.0%. The front three constitution types in different age groups: 20 years old~group: Qi-deficiency type was 29.4%, gentleness type was 24.8%, Yin-deficiency type and yang-deficiency type were 24.2% respectively; 25 years old~group:

    Yang-deficiency type was 27.6%, Yin-deficiency type and damp-heat type were 23.3% respectively; 30 years old~group: damp-heat type was 34.4%, Yang-deficiency type was 33.9%, Yin-deficiency type was 30.8%. The distribution of constitution types in different education background groups was similar as that of total constitution types of pregnant metaphase women. Conclusions The constitution type’s characteristics of pregnant metaphase women in Fuzhou were inclined to deficiency, heat and damp, and Qi-depression. Guided by the theory of “Preventive Treatment of Disease”, the staff working on antepartum care may provide targeted care according to different body constitution types of pregnant women.

  • 7.
    Lijuan, Mei
    et al.
    Fujian University of Traditional Chinese Medicine.
    Qingyue, Chen
    Fujian University of Traditional Chinese Medicine.
    Ge, Li
    School of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China.
    Guohua, Zheng
    Fujian University of Traditional Chinese Medicine.
    Jinxiu, Chen
    Fujian University of Traditional Chinese Medicine.
    Systematic Review of Chinese Traditional Exercise Baduanjin Modulating the Blood Lipid Metabolism2012In: Evidence-based Complementary and Alternative Medicine, ISSN 1741-427X, E-ISSN 1741-4288, p. Article ID 282131-Article in journal (Refereed)
    Abstract [en]

    Background. Baduanjin exercise is considered to be beneficial to modulate the blood lipid metabolism. The purpose of the systematic review was to assess the potential efficacy and safety of Baduanjin exercise. Methods. MEDLINE, EMBASE, CBM, CNKI, VIP, Chinese Important Conference Papers Database, and Chinese Dissertation Database were searched for all prospective-controlled trials of Baduanjin exercise from their inception to December 31, 2011. Results. A total of 14 studies were included. Comparing with no treatment, Baduanjin exercise significantly reduced the levels of TC, TG, LDL-C in plasma, and elevated plasma HDL-C level for healthy participants, and the pooled MD (95% confidence interval, CI) was −0.58 mmol/L (−0.86, −0.30 mmol/L), −0.22 mmol/L (−0.31, −0.13 mmol/L), −0.35 mmol/L (−0.54, −0.17 mmol/L), 0.13 mmol/L (0.06, 0.21 mmol/L), respectively. Baduanjin exercise also obviously decreased the levels of TG, LDL-C in plasma comparing with no treatment for patients, and the pooled MD (95% CI) was −0.30 mmol/L (−0.40, −0.19 mmol/L), −0.38 mmol/L (−0.63, −0.13 mmol/L), but there was not obvious to decrease plasma TC level or elevate plasma HDL-C level in patients with the pooled MD (95%CI), −0.39 mmol/L (−1.09, 0.31 mmol/L) and 0.22 mmol/L (−0.11, 0.55 mmol/L), respectively. In addition, the obvious advantage was not observed to modulate the blood lipid metabolism in comparing Baduanjin exercise with other exercises, regardless for health participants or patients. Conclusion. Studies indicated that Baduanjin exercise could significantly decrease the levels of TC, TG, LDL-C levels in plasma and elevate plasma HDL-C level for the healthy people. It also was helpful that Baduanjin exercise modulated the blood lipid metabolism for patients. Moreover, the Baduanjin exercise did not have an obvious advantage on modulating the lipid metabolism comparing with other exercises. But the evidence was uncertain because of the small sample size and low-methodological quality

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