Effects of a Postnatal Care Program on Self-efficacy, Self-management, and Glycemic Control in Women with Gestational Diabetes Mellitus.
10.4069/kjwhn.2018.24.4.367
- Author:
Yeong Kyung JEON
1
;
Hyo Jin KIM
;
Mi Yeon YANG
;
Da Yeong JUNG
;
Kum Young YOON
;
Gie Ok NOH
Author Information
1. Nurse, Samsung Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Gestational diabetes;
Postnatal care;
Self-efficacy;
Self-management;
Blood glucose
- MeSH:
Blood Glucose;
Counseling;
Diabetes, Gestational*;
Education;
Female;
Glucose Tolerance Test;
Humans;
Postnatal Care*;
Postpartum Period;
Pregnancy;
Self Care*;
Telephone
- From:Korean Journal of Women Health Nursing
2018;24(4):367-378
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To examine effects of a postnatal care program on self-efficacy, self-management, and glycemic control in women with gestational diabetes mellitus (GDM). METHODS: A non-equivalent control group non-synchronized quasi-experimental design was used. Sixty-two women with GDM were enrolled and assigned to either an experimental group (n=30) or a control group (n=32). The experimental group received an intervention which was postnatal care program for women with GDM. The postnatal care program for GDM included an individual education with leaflet and mobile web-based video with three times of telephone counseling. Effects of the intervention were measured with self-efficacy, self-management questionnaire, and a 75 g oral glucose tolerance test (75g OGTT). Statistical significance was examined using independent t-test and χ2-test. RESULTS: Although there was no significant difference in 75g OGTT (χ2=.11, p=.748) or self-management (t=−1.28, p=.206), there was a statistically significant increase in self-efficacy (t=−2.02, p=.048) in the experimental group compared to that in the control group. CONCLUSION: A postnatal care program is needed for women with GDM to improve their self-efficacy. Further studies are warranted to improve self-management and glycemic control through tailored education for GDM postpartum women.
