Effect of a new self-care guide package on maternal and neonatal outcomes in gestational diabetes: A randomized control trial

被引:22
作者
Kolivand, Mitra [1 ,2 ]
Rahimi, Mehr Ali [3 ]
Keramat, Afsaneh [4 ]
Shariati, Mohammad [5 ]
Emamian, Mohammad Hassan [6 ]
机构
[1] Shahroud Univ Med Sci, Sch Nursing & Midwifery, Student Res Comm, Shahroud, Iran
[2] Kermanshah Univ Med Sci, Fac Nursing & Midwifery, Midwifery Dept, Kermanshah, Iran
[3] Kermanshah Univ Med Sci, Dept Internal Med, Kermanshah, Iran
[4] Shahroud Univ Med Sci, Reprod Studies & Womens Hlth Res Ctr, Shahroud, Iran
[5] Univ Tehran Med Sci, Sch Med, Dept Community Med, Tehran, Iran
[6] Shahroud Univ Med Sci, Ctr Hlth Related Social & Behav Sci Res, Shahroud, Iran
关键词
Diabetes; Gestational; Iran; self-care; self-efficacy; WOMEN; EXERCISE; EFFICACY; PROGRAM;
D O I
10.1111/1753-0407.12827
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background The aim of this study was to determine the effect of a new self-care guide package on gestational diabetes mellitus (GDM). Methods This randomized clinical trial was conducted on 152 women with GDM. The intervention group was provided with the self-care guide package and three face-to-face educational sessions. The control group received routine clinical services, including physician visits and short training regarding nutrition, blood glucose control, and insulin injections. The primary outcomes were fasting and 2-h postprandial blood glucose and self-efficacy measured at the beginning of the study and 1 month after the end of the intervention. Secondary outcomes included Apgar scores, birth weight, type of delivery, and newborn hospitalization. Data were analyzed using t-tests, as well as Mann-Whitney, Chi-squared, and linear and logistic regression tests. Results The mean (+/- SD) self-efficacy score was higher in the intervention than control group (74.4 +/- 7.0 vs 36.4 +/- 5.2, respectively; P < 0.001). There was no significant difference in mean fasting plasma glucose between the two groups (P = 0.163), but mean 2-h postprandial plasma glucose was lower in the intervention than control group (105.1 +/- 17.6 vs 127.2 +/- 20.4 mg/dL, respectively; P < 0.001). There were no significant differences in the weight and age of the neonate at delivery or in the type of delivery between the two groups. However, the newborn hospitalization rate was higher in the control group (P < 0.001). Conclusion The use of a self-care package had a positive effect on maternal self-efficacy and 2-h postprandial plasma glucose, Apgar scores, and neonatal hospitalization.
引用
收藏
页码:139 / 147
页数:9
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