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KMID : 0606420180240040367
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Korean Journal of Women Health Nursing
2018 Volume.24 No. 4 p.367 ~ p.378
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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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Jeon Yeong-Kyung
Kim Hyo-Jin
Yang Mi-Yeon
Jung Da-Yeong
Yoon Kum-Young
Noh Gie-Ok
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Abstract
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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.
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KEYWORD
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Gestational diabetes, Postnatal care, Self-efficacy, Self-management, Blood glucose
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