ผลของโปรแกรมการกำกับตนเองผ่านไลน์แอปพลิเคชัน ต่อพฤติกรรมการรับประทานอาหาร พฤติกรรมการออกกำลังกาย และระดับน้ำตาลในเลือดของสตรีที่มีภาวะเบาหวานขณะตั้งครรภ์ ชนิด เอวัน

Onpreeya  Pimkot; Nilubon  Rujiraprasert

Authors

Onpreeya Pimkot Faculty of Nursing, Khon Kaen University
Nilubon Rujiraprasert Faculty of Nursing, Khon Kaen University

Keywords:

self-regulation theory, dietary behavior, exercise behavior, gestational diabetes mellitus, blood glucose Level

Abstract

Gestational diabetes is the most common complication of pregnancy that affects both the mother and the fetus. It can be prevented by maintaining normal blood sugar levels. This study aimed to examine the effects of self-regulation program using Line application on eating behaviors, exercise behaviors, and blood glucose levels in women with gestational diabetes mellitus type A1 (GDM A1).

This research was a quasi-experimental design. The sample consisted of 49 pregnant women with GDM A1 receiving antenatal care at the antenatal clinic of Sisaket Hospital. A purposive sampling method was used to select the participants. They were then divided into a control group (n=24) and an experimental group (n=25). The group assignment followed a non-simultaneous group design, in which data collection for the control group was completed before initiating data collection for the experimental group. The control group received standard nursing care, while the experimental group received a self-regulation program using Line application in addition to standard nursing care. The research instrument used was a self-regulation program using Line application, which underwent content validity testing with a content validity index (CVI) of 1.0. Data were collected from April to July 2024 using a personal data questionnaire, an eating behavior questionnaire, an exercise behavior questionnaire, and a 2-hour postprandial blood glucose (2-hr PP) levels log sheet. Data were analyzed using descriptive statistics, t-test, and Chi-Square test.

The results revealed that after receiving the self-regulation program using the Line application, the experimental group had significantly higher Mean scores for eating behavior and exercise behavior than before the program (p<.001), and significantly higher than the control group (p<.001). Additionally, the proportion of women with normal 2-hr PP glucose levels (< 120 mg/dL) in the experimental group was significantly higher than those in the control group at week 4 (p<.05). However, no significantly difference was observed at weeks 2 and 6 (p>.05)

This self-regulation program using the Line application can be implemented to encourage women with GDM to adjust their eating habits and exercise to maintain normal blood sugar levels.

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