J Korean Acad Nurs.  2013 Feb;43(1):69-80. 10.4040/jkan.2013.43.1.69.

Effects of an Integrated Self-Management Program on Self-Management, Glycemic Control, and Maternal Identity in Women with Gestational Diabetes Mellitus

• Kim H
• Kim S

• KMID: 1732667
• DOI: http://doi.org/10.4040/jkan.2013.43.1.69

Abstract

PURPOSE
The purpose of the study was to investigate the effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus (GDM).
METHODS
A non-equivalent control group non-synchronized quasi-experimental design was used. A total of 55 women with GDM were recruited from Cheil General Hospital, Seoul, Korea and were assigned to an experimental (n=28) or control group (n=27). The participants were 24-30 weeks pregnant women who had been diagnosed with GDM as of July 30, 2010. The program was conducted as a 1 hour small group meeting 3 out of 5 times and by telephone-counseling 2 out of 5 times. The integrated self-management program was verified by an expert panel.
RESULTS
Although there was no significant reduction in HbA1c (U= -1.17, p=.238), there were statistically significant increases in self-management (U= -3.80, p<.001) and maternal identity (U= -4.48, p<.001), and decreased 2-h postprandial glucose levels (U= -2.43, p<.015) in the experimental group compared to the control group.
CONCLUSION
These findings suggest that an integrated self-management program for women with GDM improves self-management, maternal identity, and glycemic control. Further studies are needed to identify the effects of an integrated self-management program on pregnancy and neonatal outcomes.

Keyword

Gestational diabetes; Self-management; Maternal-child nursing

MeSH Terms

Adaptation, Psychological
Adult
Blood Glucose/analysis
Counseling
Diabetes, Gestational/*psychology
Female
Gestational Age
Hemoglobin A, Glycosylated/analysis
Humans
Pregnancy
Program Evaluation
*Self Care
Women/*psychology
Blood Glucose
Hemoglobin A, Glycosylated

Figure

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  Figure 1 Theoretical framework of study.

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