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정슬기 ( Jung Seul-Gi ) - Yonsei University Graduate School Department of Nursing
김유진 ( Kim Yoo-Jin ) - Yonsei University Graduate School Department of Nursing
박정욱 ( Park Jeong-Ok ) - Yonsei University College of Nursing Mo-Im Kim Nursing Research Institute
최미영 ( Choi Mi-Young ) - National Evidence-Based Healthcare Collaborating Agency Division of New Health Technology Assessment
김수 ( Kim Sue ) - Yonsei University College of Nursing Mo-Im Kim Nursing Research Institute
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Abstract
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Purpose: This study aimed to analyze the content and effectiveness of psychosocial support interventions for women with gestational diabetes mellitus (GDM).
Methods: The following databases were searched with no limitation of the time period: Ovid-MEDLINE, Cochrane Library, Ovid-Embase, CINAHL, PsycINFO, NDSL, KoreaMed, RISS, and KISS. Two investigators independently reviewed and selected articles according to the predefined inclusion/exclusion criteria. ROB 2.0 and the RoBANS 2.0 checklist were used to evaluate study quality.
Results: Based on the 14 selected studies, psychosocial support interventions were provided for the purpose of (1) informational support (including GDM and diabetes mellitus information; how to manage diet, exercise, stress, blood glucose, and weight; postpartum management; and prevention of type 2 diabetes mellitus); (2) self-management motivation (setting goals for diet and exercise management, glucose monitoring, and enhancing positive health behaviors); (3) relaxation (practicing breathing and/or meditation); and (4) emotional support (sharing opinions and support). Psychosocial supportive interventions to women with GDM lead to behavioral change, mostly in the form of self-care behavior; they also reduce depression, anxiety and stress, and have an impact on improving self-efficacy. These interventions contribute to lowering physiological parameters such as fasting plasma glucose, glycated hemoglobin, and 2-hour postprandial glucose levels.
Conclusion: Psychosocial supportive interventions can indeed positively affect self-care behaviors, lifestyle changes, and physiological parameters in women with GDM. Nurses can play a pivotal role in integrative management and can streamline the care for women with GDM during pregnancy and following birth, especially through psychosocial support interventions.
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KeyWords
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Gestational diabetes, Psychosocial support systems, Social support, Systematic review
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원문 및 링크아웃 정보
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등재저널 정보
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