J Korean Acad Nurs.  2014 Dec;44(6):672-681. 10.4040/jkan.2014.44.6.672.

Effects of a Coaching Program on Comprehensive Lifestyle Modification for Women with Gestational Diabetes Mellitus

• Ko JM
• Lee JK

• KMID: 2129558
• DOI: http://doi.org/10.4040/jkan.2014.44.6.672

Abstract

PURPOSE
The purpose of this study was to investigate the effects of using a Coaching Program on Comprehensive Lifestyle Modification with pregnant women who have gestational diabetes.
METHODS
The research design for this study was a non-equivalent control group quasi-experimental study. Pregnant women with gestational diabetes were recruited from D women's hospital located in Gyeonggi Province from April to October, 2013. Participants in this study were 34 for the control group and 34 for the experimental group. The experimental group participated in the Coaching Program on Comprehensive Lifestyle Modification. The program consisted of education, small group coaching and telephone coaching over 4weeks. Statistical analysis was performed using the SPSS 21.0 program.
RESULTS
There were significant improvements in self-care behavior, and decreases in depression, fasting blood sugar and HbA1C in the experimental group compared to the control group. However, no significant differences were found between the two groups for knowledge of gestational diabetes mellitus.
CONCLUSION
The Coaching Program on Comprehensive Lifestyle Modification used in this study was found to be effective in improving self-care behavior and reducing depression, fasting blood sugar and HbA1C, and is recommended for use in clinical practice as an effective nursing intervention for pregnant women with gestational diabetes.

Keyword

Gestational diabetes; Lifestyle; Self-care; Depression; Blood glucose

MeSH Terms

Adult
Behavior Therapy
Blood Glucose/analysis
Depression
Diabetes, Gestational/*prevention & control
Female
Humans
Knowledge
Life Style
Patient Education as Topic
Pregnancy
*Program Evaluation
Questionnaires
Self Care
Telephone
Blood Glucose