Effects of the Gestational Diabetes Transition Preparation Program on Blood Sugar Control Behavior and Blood Sugar Levels Among Pregnant Women Treated with Insulin
Article Sidebar
Main Article Content
Abstract
The objective of this quasi-experimental research was to examine effects of the gestational diabetes transition preparation program on blood sugar control behavior and blood sugar levels among pregnant women treated with insulin. The subjects were 50 pregnant women with GDM who first received treatment in Taksin Hospital, Bangkok, from January 2022 to May 2022. The samples were recruited by inclusion criteria and selected by simple randomization into either the experimental group, or the control group. Each group had 25 samples. The experimental group received a 6-week preparation program for gestational diabetes transition. The program consisted of assessment the transition readiness, transition preparation, and nursing role supplement. Data were collected by using a blood sugar level control behavior questionnaire with the reliability of .77, and a blood sugar level record sheet. They were analyzed by using descriptive statistics, independent t-test, and Man-Whitney U test.Results revealed that the experimental group had significant higher mean score of blood sugar control behavior (t = 36.37, df = 36.37, P <.001), and significant lower mean of blood sugar levels (z = 2.06, P = .01) than those of the control group. These results suggest the nurse and midwifery should prepare pregnant women for the transition to diabetes. So that these pregnant women have appropriate health care behaviors and have normal blood sugar levels.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Boonsatean, W. (2016). Living with type 2 diabetes in a Thai population: experiences and socioeconomic
characteristics. Doctoral Dissertation, University of Malmo, Sweden.
Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). HillS.D.ale, NJ: Lawrence
Erlbaum Associates.
Danyuthasilpe, C. (2018). Pender’s health promotion model and its applications in nursing practice.
Songklanagarind Journal of Nursing. 38(2), 132-141. [In Thai].
Devsam, B. U., Bogossian, F. E., & Peacock, A. S. (2013). An interpretive review of women’s experiences
of gestational diabetes mellitus: proposing a framework to enhance midwifery assessment. Women and Birth, 26, 69-76.
Guariguata, L., Linnenkamp, U., Beagley, J., Whiting, D. R., & Cho, N. H. (2014). Global estimates of the
prevalence of hyperglycaemia in pregnancy. Diabetes research clinical and practice, 103(2),
-185.
Hui, A. L., Sevenhuysen, G., Harvey, D., & Salamon, E. (2014). Stress and anxiety in women with
gestational diabetes during dietary management. The Diabetes Educator, 40(5), 668- 677.
International Diabetes Federation. (2019). IDF Diabetes Atlas. (9th ed). Brussels.
Meleis, A. I., Sawyer, L. M., Im, E. O., Messias, D. K. H., & Schumacher, K. (2000). Experiencing
transitions: an emerging middle-range theory. Advances in Nursing Science, 23(1), 12-28.
Phoodaangau, B. (2013). Transition theory: its application to family nursing care. Thai Journal of
Nursing Council, 28(3), 107-120.
Rojnawaseree, D. (2018). The effect of health promotion and spouse support to the blood glucose
level and health-promoting behaviors in women at risk of gestational diabetes mellitus. Nursing
Public Health and Education Journal. 19(3), 47-58.
Schumacher, K. L. & Meleis, A. I. (1994). Transitions: a central concept in Nursing. Journal of Nursing
Scholarship. 26(2), 119-127.
Schmitt, A., Gahr, A., Hermanns, N., Kulzer, B., Huber, J., & Haak, T. (2013). The diabetes self-
management questionnaire (DSMQ): development and evaluation of an instrument to assess
diabetes self-care activities associated with glycaemic control. Health Qual Life Outcomes, 11, 138.
Sriyasak, A., Chookanhom, P., Sridawrung, C., & Kaoaiem, H. (2020). Application of transition theory in
becoming teenage parents. Journal of The Royal Thai Army Nurses. 21(2), 1-8. [In Thai].
Srisawat, K., & Sikaow, O. (2014). Management for gestational diabetes mellitus. Journal of The Royal
Thai Army Nurses. 15(2), 50-59. [In Thai].
Suwannarat, K., Tachasuksri, T., & Siriarunrat, S. (2019). Effects of a self-management support program
on diabetes self-management behavior and blood sugar level in women with gestational diabetes mellitus. Journal of phrapokklao nursing college. 30(2), 1-13. [In Thai].
Sitkulanan, P., & Kumtip, P. (2020). Impact of a self-management programme monitored through the
application LINE on eating behaviour, arm-swing exercise behaviour, and blood glucose levels in women with gestational diabetes mellitus. Journal of Thailand Nursing and Midwifery Council. 35(2), 52-69. [In Thai].
Nelson, R. K., Hafner, S. M., Cook, A. C., Sterner, N. J., Butler, E. L., Jakiemiec, B. E., & Saltarelli, W. A.
(2022). Exercise during pregnancy: What Do OB/GYNs Believe and Practice? a descriptive analysis. Women's Health Reports (New Rochelle, N.Y.), 3(1), 274-280.
Radarith, C., Tachasuksri, T., & Siriarunrat, S. (2019). Factors influencing self-management among women
with gestational diabetes mellitus. The Journal of Faculty of Nursing Burapha University,
(1), 50-59. [In Thai].
Thato, R. (2018). Sample size calculation using power of test. Nursing research: concepts to application (4th ed.). Bangkok: Chulalongkorn University Printing House. [In Thai].