Effects of Health Promotion Program on Dietary Behavior, Exercise Behavior, and Blood Sugar Levels among Pregnant Women with False Positive Glucose Challenge Test
Article Sidebar
Main Article Content
Abstract
This quasi-experimental research aimed to examine the effects of a health promotion program on dietary behavior, exercise behavior, and blood sugar levels among pregnant women with a false-positive glucose challenge test. The samples were pregnant women with false-positive glucose challenge tests and selected by convenience sampling. The samples were divided into the control group and the experimental group. Each group consisted of 28 participants. Data were collected using a personal information questionnaire, an online dietary behavior record, and an online exercise behavior record. The quality of the research instrument was evaluated by the Content Validity Index (CVI ≥ .80). Data analysis was performed with descriptive statistics, Chi-Square, and Mann-Whitney U test.
The results revealed that the ratio of participants in the experimental group who could control dietary behavior and exercise behavior was significantly greater than those in the control group ( = 31.540, p-value < .001;
= 29.167, p-value < .001 respectively). Besides, the mean score of blood sugar levels in the experimental group was significantly lower than that in the control group (Z = -2.230, p-value < .05). It could be summarized that the health promotion program could influence the modification of health behavior and effectively control the normal glycemic level in pregnant women with a false-positive glucose challenge test. Therefore, the LINE application should be further developed to modify health behavior in pregnant women.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Cunningham FG, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al. Obstetrícia de Williams. 25th ed. New York: McGraw Hill Education; 2021.
Plows JF, Stanley JL, Baker PN, Reynolds CM, Vickers MH. The pathophysiology of gestational diabetes mellitus. International Journal of Molecular Sciences 2018;19(11):3342. doi: 10.3390/ijms19113342.
International Diabetes Federation. Gestational diabetes [Internet]. 2020 [cited 2021 Aug 15]. Available from: https://idf.org/about-diabetes/gestational-diabetes/
Faculty of Medicine Siriraj Hospital, Mahidol University. Statistical report 2018. Bangkok: Mahidol University; 2019. (in Thai)
The Royal Thai College of Obstetricians and Gynaecologists. Medical practice guidelines of the Royal College of Obstetricians and Gynecologists of Thailand. Bangkok: P.A. Living Company; 2023. (in Thai)
Cha HH, Kim JY, Choi SJ, Oh SY, Roh CR, Kim JH. How high is too high in cutoff levels from 50-g glucose challenge test. Obstetrics and Gynecology Science 2016;59(3):178-83. doi: 10.5468/ogs.2016.59.3.178.
Limruangrong P, Boriboonhiransarn D, Puangsricharoen A, Phinichlertsakul O. Factors influencing the occurrence of gestational diabetes mellitus in pregnant women with abnormal glucose challenge test. Journal of Nursing Science 2016;34(2):58-69. (in Thai)
Baloch I, Mukesh R, Bajari N, Talpur S. False positive 1 hour glucose challenge test and adverse obstetric and perinatal outcomes. Journal of The Society of Obstetricians and Gynaecologists of Pakistan 2019;9(1):19-24. (in Thai)
Rottenstreich M, Rotem R, Hirsch A, Farkash R, Reichman O, Rottenstreich A, et al. Screening for gestational diabetes mellitus - can we use the 50-g glucose challenge test of the previous pregnancy?. Diabetes Research and Clinical Practice 2019;158:107913. doi: 10.1016/j.diabres.2019.107913.
Roeckner JT, Bennett S, Mitta M, Sanchez-Ramos L, Kaunitz AM. Pregnancy outcomes associated with an abnormal 50-g glucose screen during pregnancy: a systematic review and meta-analysis. The Journal of Maternal-Fetal and Neonatal Medicine 2021;34(24):4132-40. doi: 10.1080/14767058.2019.1706473.
Beksac MS, Tanacan A, Hakli DA, Ozyuncu O. Use of the 50-g glucose challenge test to predict excess delivery weight. International Journal of Gynecology and Obstetrics 2018;142(1):61-5. doi: 10.1002/ijgo.12504.
Nitnara J, Srisungnoen L. Factors affecting diabetes prevention of pregnant women in Sung Noen district, Nakhon Ratchasima province. Regional Health Promotion Center 9 Journal: The Journal for Health Promotion and Environmental Health 2019;13(30):27-43. (in Thai)
Krungsaenmuang T, Wattananukulk S. The effects of a health behavior promotion program on gestational diabetes mellitus among pregnant women with potential risks. Journal of Health and Nursing Education 2021;27(1):106-21. (in Thai)
Bonomo M, Corica D, Mion E, Goncalves D, Motta G, Merati R, et al. Evaluating the therapeutic approach in pregnancies complicated by borderline glucose intolerance: a randomized clinical trial. Diabetic Medicine 2005;22(11):1536-41. doi: 10.1111/j.1464-5491.2005.01690.x
Bevier WC, Fischer R, Jovanovic L. Treatment of women with an abnormal glucose challenge test (but a normal oral glucose tolerance test) decreases the prevalence of macrosomia. American Journal of Perinatology 1999;16(6):269-75. doi: 10.1055/s-2007-993871.
Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, et al. The physical activity guidelines for Americans. Journal of the American Medical Association 2018;320(19):2020-8. doi: 10.1001/jama.2018.14854.
Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 5th ed. Upper Saddle River, NJ: Prentice Hall; 2006.
Chairob N, Chaiyawongsa K. Effect of eating behavior and exercise training program on blood sugar levels in diabetes during pregnancy. Research and Development Health System Journal 2020;13(1):330-7. (in Thai)
Kaewpudpong K. Effects of self-care promoting program toward self care behavior among gestational diabetic women. Region 11 Medical Journal 2018;32(1):907-18. (in Thai)
Pingwong K, Sittipa K. Factors related to self-management behaviors among pregnant women at risk of gestational diabetes mellitus. Nursing Journal 2022;49(1):317-28. (in Thai)
Phothi P, Theerakulchai J, Khanobdee C, Panburana P. The effect of a resistance exercise program on glycemic control of pregnant women with gestational diabetes mellitus class a1. Vajira Nursing Journal 2016;18(2):12-24. (in Thai)
Limruangrong P, Sinsuksai N, Ratinthorn A, Boriboonhirunsarn D. Effectiveness of a self-regulation program on diet control, exercise, and two-hour postprandial blood glucose levels in Thais with gestational diabetes mellitus. Pacific Rim International Journal of Nursing Research 2011;15(3):173-87.
Suwannarat K, Tachasuksri T, Siriarunrat S. 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 2019;30(2):1-13. (in Thai)
Krungsaenmuang T, Wattananukulkiat S. The effects of a health behavior promotion program on gestational diabetes mellitus among pregnant women with potential risks. Journal of Health and Nursing Education 2021;27(1):106-21. (in Thai)
Supavititpatana B, Prasitwattanaseree P, editors. Nursing and midwifery: women at risk and complications. 1st ed. Chiang Mai: Faculty of Nursing, Chiang Mai University; 2019. (in Thai)
Netimetee S, Boobpamala S. Nursing care for pregnant women with gestational diabetes mellitus during pregnancy. Journal of Health and Nursing Education 2022;28(1):e256658. (in Thai)
Chansoongnern J, Panyasaisopon T, Phudla P. Effectiveness of health promotion program applied Pender’s health promotion model for pregnant women with high blood sugar level. Journal of Phrapokklao Nursing College 2022;33(2):53-68. (in Thai)
Khoraminejad P, Khalatbari J, Seirafi MR. Comparison of the acceptance and commitment therapy and compassion-focused therapy on quality of life and health-promoting behaviors of mothers with gestational diabetes. International Journal of Applied Behavioral Sciences 2021;8(3):1-12. doi: 10.22037/ijabs.v8i3.32843.
Ural A, Beji NK. The effect of health-promoting lifestyle education program provided to women with gestational diabetes mellitus on maternal and neonatal health: a randomized controlled trial. Psychology, Health and Medicine 2021;26(6):657-70. doi: 10.1080/13548506.2020.1856390.