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Outline
To explore the chain mediating role of health information acquisition behavior and blood glucose management behavioral decision-making between risk perception and self-management in pregnant women with gestational diabetes mellitus (GDM).
Using a convenience sampling method, 353 pregnant women with GDM from four tertiary Grade-A hospitals in Zhengzhou City were selected as participants. They were surveyed using the Risk Perception Scale for Pregnant Women with GDM, the Diabetes Health Information Acquisition Behavior Scale, the Blood Glucose Management Behavioral Decision-Making Scale for Pregnant Women with GDM, and the Self-Management Assessment Scale for GDM. Structural equation modeling and the Bootstrap method were employed to test the mediating effects.
Risk perception was positively associated with self-management in pregnant women with GDM (β=0.676, P<0.001). Health information acquisition behavior was positively associated with self-management (β=0.097, P<0.001), and blood glucose management behavioral decision-making was also positively associated with self-management (β=0.133, P<0.001). The chain mediating effect of both variables was significant (β=0.033, 95%CI: 0.016-0.142, P<0.001), accounting for 4.88% of the total effect. The total mediating effect accounted for 38.91% of the total effect.
Health information acquisition behavior and blood glucose management behavioral decision-making play a chain mediating role between risk perception and self-management in pregnant women with GDM. This suggests that clinical interventions should start with enhancing pregnant women’s risk perception, subsequently promoting their proactive acquisition of health information and optimizing management decisions to ultimately improve self-management behaviors.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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