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

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KMID : 0606420180240040367
Àü¿µ°æ ( Jeon Yeong-Kyung ) - »ï¼º¼­¿ïº´¿ø

±èÈ¿Áø ( Kim Hyo-Jin ) - »ï¼º¼­¿ïº´¿ø
¾ç¹Ì¿¬ ( Yang Mi-Yeon ) - »ï¼º¼­¿ïº´¿ø
Á¤´Ù¿µ ( Jung Da-Yeong ) - »ï¼º¼­¿ïº´¿ø
À±±Ý¿µ ( Yoon Kum-Young ) - »ï¼º¼­¿ïº´¿ø
³ë±â¿Á ( Noh Gie-Ok ) - °Ç¾ç´ëÇб³ °£È£Çаú

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 ¥ö2-test.

Results: Although there was no significant difference in 75g OGTT (¥ö2=.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.
KeyWords
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Gestational diabetes, Postnatal care, Self-efficacy, Self-management, Blood glucose
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed