Pregnancy-related Anxiety, Risk Knowledge of Gestational Diabetes Mellitus, and Perception of Pregnancy Risk among Pregnant Women with Gestational Diabetes Mellitus

Main Article Content

Natthapat Karanyasin
Chavee Baosoung
Nantaporn Sansiriphun

Abstract

This descriptive correlational research aimed to explore the perception of pregnancy risk and the relationships among pregnancy-related anxiety and risk knowledge of gestational diabetes mellitus (GDM) with perception of pregnancy risk among pregnant women with GDM. The samples were 85 pregnant women with GDM who received the antenatal care at Maharaj Nakorn Chiang Mai Hospital and Chiang Mai Health Promotion Center Region 1 Hospital. The research instruments consisted of the demographic questionnaire, the pregnancy-related anxiety questionnaire with reliability as .80, the risk knowledge of GDM questionnaire with reliability as .81, and the perception of pregnancy risk questionnaire with reliability as .88. Data were collected from March to June, 2020. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and Pearson’s product moment correlation.


The research results revealed that the mean score of perception of pregnancy risk among pregnant women with GDM was at a moderate level (M = 309.46, SD = 136.93). Pregnancy-related anxiety and risk knowledge of GDM were positively statistically significantly related to perception of pregnancy risk among pregnant women with GDM (r = .337, p < .01 and r = .219, p < .05, respectively).


This research suggests that the nurse-midwives should assess pregnancy-related anxiety, risk knowledge of GDM, and perception of pregnancy risk among pregnant women with GDM. As these data should be used to promote the factual perception of pregnancy risk. This will help pregnant women accept and practice the preventive health behavior.

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How to Cite
Karanyasin, N., Baosoung, C., & Sansiriphun, N. (2022). Pregnancy-related Anxiety, Risk Knowledge of Gestational Diabetes Mellitus, and Perception of Pregnancy Risk among Pregnant Women with Gestational Diabetes Mellitus. JOURNAL OF PHRAPOKKLAO NURSING COLLEGE, 33(1), 181–191. Retrieved from https://he01.tci-thaijo.org/index.php/pnc/article/view/254110
Section
Research Report (รายงานการวิจัย)

References

ปิ่นอนงค์ พิมพ์สุวรรณ, ฉวี เบาทรวง, และนันทพร แสนศิริพันธ์. (2563). ความวิตกกังวลเกี่ยวกับการตั้งครรภ์ ความรู้ภาวะเสี่ยง และการรับรู้ภาวะเสี่ยงจากการตั้งครรภ์ในสตรีตั้งครรภ์อายุมาก. พยาบาลสาร, 47(3), 50–60.

อัญชลี จิตราภิรมย์, จันทรรัตน์ เจริญสันติ, และพรรณพิไล ศรีอาภรณ์. (2557). การรับรู้ภาวะเสี่ยงของการตั้งครรภ์ ความรู้สึกไม่แน่นอน และความเครียดของสตรีที่เป็นเบาหวานขณะตั้งครรภ์. พยาบาลสาร, 41(1), 50–61.

American College of Obstetricians and Gynecologists. (2018). ACOG Practice Bulletin No. 190:

Gestational diabetes mellitus. Obstetrics and Gynecology, 131(2), 49–64.

doi:10.1097/AOG.0000000000002501

American Diabetes Association. (2019). 2. Classification and diagnosis of diabetes: Standards of medical care in diabetes–2019. Diabetes Care, 42(Suppl. 1), 13–28. doi:10.2337/dc19-S002

Bayrampour, H., Ali, E., McNeil, D. A., Benzies, K., MacQueen, G., & Tough, S. (2016). Pregnancy-

related anxiety: A concept analysis. International Journal of Nursing Studies, 55, 115–130.

doi:10.1016/j.ijnurstu.2015.10.023

Bayrampour, H., Heaman, M., Duncan, K. A., & Tough, S. (2012). Comparison of perception of

pregnancy risk of nulliparous women of advanced maternal age and younger age. Journal of

Midwifery & Woman’s Health, 57(5), 445–453. doi:10.1111/j.1542-2011.2012.00188.x

Bayrampour, H., Heaman, M., Duncan, K. A., & Tough, S. (2013). Predictors of perception of pregnancy risk among nulliparous women. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 42(4), 416–427. doi:10.1111/1552-6909.12215

Cunningham, F. G., Levono, K. J., Bloom, S. L., Spong, C. Y., Dashe, J. S., Hoffman, B. L., … &

Sheffield, J. S. (2014). Williams Obstetrics (24th ed.). New York: McGraw-Hill.

Headley, A. J., & Harrigan, J. (2009). Using the Pregnancy Perception of Risk Questionnaire to assess health care literacy gaps in maternal perception of prenatal risk. Journal of the National Medical Association, 101(10), 1041–1045. doi:10.1016/s0027-9684(15)31071-3

Heaman, M., Gupton, A., & Gregory, D. (2004). Factors influencing pregnant women’s perceptions of risk. The American Journal of Maternal/Child Nursing, 29(2), 111–116.

doi:10.1097/00005721-200403000-00010

Heaman, M. I., & Gupton, A. L. (2009). Psychometric testing of the Perception of Pregnancy Risk

Questionnaire. Research in Nursing & Health, 32(5), 493–503. doi:10.1002/nur.20342

Jones, E. J., Appel, S. J., Eaves, Y. D., Moneyham, L., Oster, R. A., & Ovalle, F. (2012). Cardiometabolic risk, knowledge, risk perception, and self-efficacy among American Indian women with previous gestational diabetes. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(2), 246–257. doi:10.1111/j.1552-6909.2012.01339.x

Kim, C., McEwen, L. N., Piette, J. D., Goewey, J., Ferrara, A., & Walker, E. A. (2007). Risk perception

for diabetes among women with histories of gestational diabetes mellitus. Diabetes Care, 30(9),

–2286. doi:10.2337/dc07-0618

Lee, K. W., Ching, S. M., Ramachandran, V., Yee, A., Hoo, F. K., Chia, Y. C., … & Veettil, S. K. (2018).

Prevalence and risk factors of gestational diabetes mellitus in Asia: A systematic review and

meta-analysis. BMC Pregnancy and Childbirth, 18(1), 494. doi:10.1186/s12884-018-2131-4

Lee, S., Ayers, S., & Holden, D. (2012). Risk perception of women during high risk pregnancy: A

systematic review. Health, Risk & Society, 14(6), 511–531. doi:10.1080/13698575.2012.701277

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing

practice (10th ed.). Philadelphia: Wolters Kluwer Health.

Ralston, E. R., Smith, P., Chilcot, J., Silverio, S. A., & Bramham, K. (2021). Perceptions of risk in

pregnancy with chronic disease: A systematic review and thematic synthesis. PLoS One, 16(7),

e0254956. doi:10.1371/journal.pone.0254956

Rini, C. K., Dunkel-Schetter, C., Wadhwa, P. D., & Sandman, C. A. (1999). Psychological adaptation and birth outcomes: The role of personal resources, stress, and sociocultural context in pregnancy. Health Psychology, 18(4), 333–345. doi:10.1037/0278-6133.18.4.333

Taghizadeh, Z., Cheraghi, M. A., Kazemnejad, A., Pooralajal, J., & Aghababaei, S. (2017). Difference in perception of pregnancy risk in two maternal age groups. Journal of Clinical and Diagnostic

Research, 11(5), 9–12. doi:10.7860/JCDR/2017/23661.9915

Tough, S., Benzies, K., Newburn-Cook, C., Tofflemire, K., Fraser-Lee, N., Faber, A., & Sauve, R. (2006). What do women know about the risks of delayed childbearing?. Canadian Journal of Public Health, 97(4), 330–334. doi:10.1007/BF03405615