Effects of an Integrated Self-Management Program on Self-Management, Glycemic Control, and Maternal Identity in Women with Gestational Diabetes Mellitus.
10.4040/jkan.2013.43.1.69
- Author:
Heesook KIM
1
;
Sue KIM
Author Information
1. Department of Nursing, Dongnam Health College, Suwon, Korea. khs0204@dongnam.ac.kr
- Publication Type:Retracted Publication ; Original Article ; Controlled Clinical Trial ; English Abstract ; Research Support, Non-U.S. Gov't
- Keywords:
Gestational diabetes;
Self-management;
Maternal-child nursing
- MeSH:
Adaptation, Psychological;
Adult;
Blood Glucose/analysis;
Counseling;
Diabetes, Gestational/*psychology;
Female;
Gestational Age;
Hemoglobin A, Glycosylated/analysis;
Humans;
Pregnancy;
Program Evaluation;
*Self Care;
Women/*psychology
- From:Journal of Korean Academy of Nursing
2013;43(1):69-80
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of the study was to investigate the effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus (GDM). METHODS: A non-equivalent control group non-synchronized quasi-experimental design was used. A total of 55 women with GDM were recruited from Cheil General Hospital, Seoul, Korea and were assigned to an experimental (n=28) or control group (n=27). The participants were 24-30 weeks pregnant women who had been diagnosed with GDM as of July 30, 2010. The program was conducted as a 1 hour small group meeting 3 out of 5 times and by telephone-counseling 2 out of 5 times. The integrated self-management program was verified by an expert panel. RESULTS: Although there was no significant reduction in HbA1c (U= -1.17, p=.238), there were statistically significant increases in self-management (U= -3.80, p<.001) and maternal identity (U= -4.48, p<.001), and decreased 2-h postprandial glucose levels (U= -2.43, p<.015) in the experimental group compared to the control group. CONCLUSION: These findings suggest that an integrated self-management program for women with GDM improves self-management, maternal identity, and glycemic control. Further studies are needed to identify the effects of an integrated self-management program on pregnancy and neonatal outcomes.
