| Effects of a Postnatal Care Program on Self-efficacy, Self-management, and Glycemic Control in Women with Gestational Diabetes Mellitus |
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Yeong Kyung Jeon, Hyo Jin Kim, Mi Yeon Yang, Da Yeong Jung, Kum Young Yoon, Gie Ok Noh |
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 |
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| 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. |
| Key Words:
Gestational diabetes; Postnatal care; Self-efficacy; Self-management; Blood glucose |
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