Assessment of the effectiveness of group education on knowledge for women with newly diagnosed gestational diabetes

被引:18
作者
Alayoub, H. [1 ]
Curran, S. [2 ]
Coffey, M. [3 ]
Hatunic, M. [4 ]
Higgins, M. [5 ]
机构
[1] UCD Sch Med, Dublin 2, Ireland
[2] Natl Matern Hosp, Clin Nutr & Dietet, Dublin 2, Ireland
[3] Natl Matern Hosp, Midwifery, Dublin 2, Ireland
[4] Mater Misercordiae Hosp, Endocrinol, Dublin 2, Ireland
[5] Univ Coll Dublin, Sch Med, Natl Matern Hosp, UCD Obstet & Gynaecol, Holles St, Dublin 2, Ireland
关键词
Diabetes; Education; GDM; Gestational; Knowledge; Multidisciplinary; PREGNANCY; MELLITUS;
D O I
10.1007/s11845-017-1609-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Gestational diabetes mellitus (GDM) is identified in pregnancy and resolves following delivery. It increases maternal and foetal morbidity and may increase risk of future type 2 diabetes. Women diagnosed with GDM need high-quality multidisciplinary education in order to apply necessary changes to their diet and lifestyle. There is a paucity of information on the effectiveness of group education for women with GDM. The aim of this study was to assess the effect of a multidisciplinary group intervention delivered by a specialist midwife and dietitian on women's knowledge of GDM. All women with a diagnosis of GDM were invited to attend a multidisciplinary group educational session on lifestyle and GDM management. Participants were invited to complete a questionnaire before and after the educational intervention; only individuals who completed both questionnaires were included. The questionnaire reviewed knowledge of suitable diet, implications of GDM diagnosis and management of GDM. A total of 716 women completed both questionnaires; mean age of the participants was 34 years. Just under half of women (46.9%, n = 333) were primiparous. The majority of the women (62.5%, n = 439) were Irish; 53.4% (n = 382) had a family history of diabetes. There was a significant increase in median score for knowledge following the educational intervention (pre-intervention score 8 (-2-12); post-intervention score 12 (1-12); p < 0.001). This study demonstrates the benefit of a multidisciplinary group educational session delivered by a specialized midwife and a dietitian on pregnant women's knowledge and understanding of GDM.
引用
收藏
页码:65 / 68
页数:4
相关论文
共 9 条
[1]   Lost opportunities to prevent early onset type 2 diabetes mellitus after a pregnancy complicated by gestational diabetes [J].
Bernstein, Judith A. ;
McCloskey, Lois ;
Gebel, Christina M. ;
Iverson, Ronald E. ;
Lee-Parritz, Aviva .
BMJ OPEN DIABETES RESEARCH & CARE, 2016, 4 (01)
[2]   Effect of treatment of gestational diabetes mellitus on pregnancy outcomes [J].
Crowther, CA ;
Hiller, JE ;
Moss, JR ;
McPhee, AJ ;
Jeffries, WS ;
Robinson, JS .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (24) :2477-2486
[3]   Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group [J].
da Silva Sousa, Ana Maria ;
Fiuza, Daine ;
Ferreira Mikami, Fernanda Cristina ;
Abrao, Karen Cristine ;
Vieira Francisco, Rossana Pulcineli ;
Zugaib, Marcelo .
REVISTA DA ASSOCIACAO MEDICA BRASILEIRA, 2016, 62 (03) :212-217
[4]  
International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy, 2010, REV COMMENTARIES ADA, V33, P676
[5]  
Kirkpatrick D, 1996, TRAINING DEV, V50, P54
[6]   The influence of a low glycemic index dietary intervention on maternal dietary intake, glycemic index and gestational weight gain during pregnancy: a randomized controlled trial [J].
McGowan, Ciara A. ;
Walsh, Jennifer M. ;
Byrne, Jacinta ;
Curran, Sinead ;
McAuliffe, Fionnuala M. .
NUTRITION JOURNAL, 2013, 12
[7]  
Schwartz N, 2015, AM J OBSTET GYNECOL, V212, pS405
[8]   Multidisciplinary group education for the treatment of gestational diabetes mellitus [J].
Tadesse, Workineh G. ;
Dunlevy, Fiona ;
Nazir, Syeda F. ;
Doherty, H. ;
Turner, M. J. ;
Kinsley, Brendan ;
Daly, Sean .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2016, 214 (01) :S92-S93
[9]   Screening and subsequent management for gestational diabetes for improving maternal and infant health [J].
Tieu, Joanna ;
McPhee, Andrew J. ;
Crowther, Caroline A. ;
Middleton, Philippa .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2014, (02)