Pregnancy-Specific Stress, Social Support, and Coping among Gestational Diabetic Women
Keywords:
pregnancy-specific stress, social support, coping, gestational diabetic womenAbstract
Women with gestational diabetes must have coping skills to reduce stress that may affect the health of women and the fetus. This descriptive study aimed to investigate pregnancy-specific stress, social support, coping skills, and their relationships among gestational diabetic women using the model of coping by Lazarus and Folkman12 as a conceptual framework of the study. The sample included 85 pregnant women who had been diagnosed with type A1 gestational diabetes and attended the antenatal clinics of Health Promotion Region 1 Chiang Mai Hospital and Maharaj Nakorn Chiang Mai Hospital between May to August 2017. Research instruments consisted of: Personal Data Record Form, Revised Prenatal Distress Questionnaire (NUPDQ)11 which was translated to Thai by the researcher and colleagues; the Social Support of High Risk Pregnant Woman Questionnaire14 and Coping Behavior of Gestational Diabetic Women Questionnaire modified from Coping Behavior of High Risk Pregnant Woman Questionnaire.14 Data were analyzed using descriptive statistics and Pearson’s correlation coefficient.
The results of the study were as follows:
- Pregnancy-specific Stress was at a low level ( = 11.67, S.D. = 5.44).
- Social Support was at a high level ( = 90.24, S.D. = 12.77).
- Coping skill was at a high level ( = 96.41, S.D. = 9.97).
- Pregnancy-specific stress did not relate to coping skills.
- Social Support had a moderate positive correlation with coping skills (r = .443, p < .01).
The results of this study can be used as baseline data to evaluate the coping skills of women with gestational diabetes to provide care and social support for them.
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References
2. American Diabetics Association. [ADA]. Standards of medical care in diabetes. Diabetes Care 2008;31(1):12-54.
3. Moore TR, Smith CV. Diabetes mellitus and pregnancy [Internet]. 2011 [cite 2017 May 10]. Available from: https://www.medscape.com.
4. Deerochanawong C, Ferrario A. Diabetes management in Thailand: A literature review of the burden, costs, and outcomes. Globalization and Health 2013;9(11):1-18.
5. Maternal Fetal Medicine. Obstetrics and Gynecology statistics [Internet]. 2015 [cite 2017 Feb 20]. Available from: https://www.medicine.cmu.ac.th/dept/obgyn/2011/images/stories/MFM/Statis a./MFM15.pdf
6. Lawson EJ, Rajaram SA. Transformed pregnancy: The psychosocial consequences of gestational diabetes. Sociology of Health & Illness. 1984;16(4):526-563.
7. Diabetes Association of Thailand under The Patronage of Her Royal Highness Princess Maha Chakri Sirindhorn. Clinical Practice Guideline for Diabetes [Internet]. 2014 [cited 2017 Jan 20]. Available from: https://203.157.39.7/imrta/images/cpg 20141120.pdf.
8. Wood SA, Melville JL, Guo Y, Fan M, Gavin A. Psychosocial stress during pregnancy. American Journal of Obstetrics and Gynecology 2010;202(1):61.e1-61.e7.
9. Jittrapirom A, Chareonsanti J, Sriarporn P. Pregnancy Risk Perception, Uncertainty, and Stress among Gestational Diabetic Women. Nursing Journal 2014;41(4):50-61. (in Thai).
10. Phrommasen PH. Social Support, and Stress among Gestational Diabetic Women [Master of Nursing thesis]. [Chiang Mai]: Chiang Mai University; 2015. (in Thai).
11. Lobel M, Hamilton JG, Cannella DT. Psychosocial perspectives on pregnancy: prenatal maternal stress and coping. Social and Personality Psychology Compass. 2008;2(4):1600-23.
12. Lazarus RS, Folkman S. Stress, Appraisal, and Coping. New York: Springer; 1984.
13. Yali AM, Lobel M. Coping and distress in pregnancy: An investigation of medically high risk women. Journal of Psychosomatic Obstetrics & Gynecology. 1999;20(1):39-52.
14. Chunpradub, P. The Relationship between Self-Esteem, Social Support and Coping Behavior in High-risk Pregnant Women [Master’s thesis]. [Bangkok]: Mahidol University;1995. (in Thai).
15. Ekasingh B. Uncertainty in illness and coping strategies in pregnant women with hypertensive disorder and diabetes mellitus. [Master’s thesis]. [Bangkok]: Mahidol University;1998. (in Thai).
16. Pakenham KI, Smith A, Rattan S. L. Application of a stress and coping model to antenatal depressive symptomatology. Psychology, health & medicine. 2007;12(3):266-277.
17. Blechman EA, Lowell E. S, Garrett, J. Prosocial coping and substance use during pregnancy. Addictive behaviors. 1999;24(1):99-109.
18. Ryding E, Wijma B, Wijma K., Rydhstrom H. Fear of childbirth during pregnancy may increase the risk of emergency cesarean section. Acta obstetricia et gynecologica Scandinavica. 1998;77(5):542-547.
19. House JS. Work stress and social support. New Jersey: Prentice Hall; 1981.
20. Giurgescu C., Penckofer S., Maurer MC., Bryant FB. Inpact of uncertainly, social support, and prenatal coping on the psychological well-being of high-risk pregnancy woman. Nursing research.2006;55(5):356-365.
21. Polit, D. F. Statistics and data analysis for nursing research. 2nd ed. Boston: Pearson; 2010.
22. Lobel M, Cannella DL, Graham JE, DeVincent C, Schneider J, Meyer BA. Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychology. 2008;27(5):604-615.
23. National Statistical office. Survey economics [Internet]. 2015 [cite 2017 May 10]. Available from: https://service.nso.go.th/nso/nsopublish/themes/files/SocioPocket58.pdf. (in Thai).
24. Borcherding KE. Coping in healthy primigravidae pregnant women. Journal of Obstetric, Gynecologic, & Neonatal Nursing 2009;38(4):453-462.
25. Prechakornkanokkul P, Wattananukulkiat S, Phanphruk W. Stress and coping of industrial Prechakornkanokkul P, Wattananukulkiat S, Phanphruk W. Stress and coping of industrial pregnant women in the Suranaree Industrial Zone, Nakhon Ratchasima province. Journal of Nursing Science & Health. 2012;35(2):53-61. (in Thai).
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