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http://dx.doi.org/10.4069/kjwhn.2018.24.4.367

Effects of a Postnatal Care Program on Self-efficacy, Self-management, and Glycemic Control in Women with Gestational Diabetes Mellitus  

Jeon, Yeong Kyung (Samsung Medical Center)
Kim, Hyo Jin (Samsung Medical Center)
Yang, Mi Yeon (Samsung Medical Center)
Jung, Da Yeong (Samsung Medical Center)
Yoon, Kum Young (Samsung Medical Center)
Noh, Gie Ok (College of Nursing, Konyang University)
Publication Information
Women's Health Nursing / v.24, no.4, 2018 , pp. 367-378 More about this Journal
Abstract
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 $x^2-test$. Results: Although there was no significant difference in 75g OGTT ($x^2=.11$, 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.
Keywords
Gestational diabetes; Postnatal care; Self-efficacy; Self-management; Blood glucose;
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Times Cited By KSCI : 3  (Citation Analysis)
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