Korean J Women Health Nurs.  2018 Dec;24(4):367-378. 10.4069/kjwhn.2018.24.4.367.

Effects of a Postnatal Care Program on Self-efficacy, Self-management, and Glycemic Control in Women with Gestational Diabetes Mellitus

Affiliations
  • 1Nurse, Samsung Medical Center, Seoul, Korea.
  • 2Unit Manager, Samsung Medical Center, Seoul, Korea.
  • 3Assistant Professor, College of Nursing, Konyang University, Daejeon, Korea. nkorn91@konyang.ac.kr

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.

Keyword

Gestational diabetes; Postnatal care; Self-efficacy; Self-management; Blood glucose

MeSH Terms

Blood Glucose
Counseling
Diabetes, Gestational*
Education
Female
Glucose Tolerance Test
Humans
Postnatal Care*
Postpartum Period
Pregnancy
Self Care*
Telephone
Blood Glucose

Figure

  • Figure 1 Flow diagram of the study participants.

  • Figure 2 Hi chart video significant screen.


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Do depression, anxiety, emotional intelligence, and sleep quality affect diabetes management self-efficacy in Korean women with gestational diabetes in pregnancy?: a descriptive correlational study
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