Title of article :
Effect of Educational Package on Self-care Behavior, Quality of Life, and
Blood Glucose Levels in Pregnant Women with Gestational Diabetes: A Randomized
Controlled Trial
Author/Authors :
Mohammad-Alizadeh-Charandabi Sakineh نويسنده PhD. Assistant Professor, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Mohammad-Alizadeh-Charandabi Sakineh , Mirghafourvand Mojgan نويسنده Department of Midwifery, Tabriz University of Medical Sciences, Tabriz , Ghanbari-Homayi Solmaz نويسنده Departement of Midwifery, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz , Zandinava Havin نويسنده MSc in Midwifery, Department of Midwifery, Tabriz
University of Medical Sciences, International Branch Aras, Tabriz,
Iran , Sehhatti Shafaei Fahimeh نويسنده Assistant Professor of Midwifery Group, Tabriz University
of Medical Sciences, Tabriz, Iran
Abstract :
Background Gestational diabetes is a particular disorder during
pregnancy which can cause complications for mother and fetus. One reason
for the limited success in the treatment of diabetes is the lack of
patient participation in the process of treatment. Self-care education
is an important principle in the treatment of diabetes that can enhance
the quality of life. Objectives This study aimed to determine the effect
of educational package on self-care behavior, quality of life, FBS
(Fasting Blood Sugar), and GTT (Glucose Tolerance Test) among women with
gestational diabetes. Methods This randomized controlled clinical trial
was performed on 92 pregnant women with gestational diabetes (n = 46 in
each group) referring to diabetes clinic of Tohid hospital in Sanandaj,
Iran. The educational program was designed in four sessions (one session
per week) for the intervention group and included routine prenatal care
along with education on self-care through lecture and question and
answer. The participants also received educational booklet at the end of
the first session. The control group received only routine prenatal
care. Before and four weeks after the intervention, self-care and
quality of life questionnaires were completed by the participants in
both groups, and fasting blood glucose and GTT were measured. Results
After adjusting for the baseline score, the mean score of self-care
behaviors was significantly higher in the intervention group than the
control group four weeks after the intervention [adjusted mean
difference: 19.5; 95% confidence interval: 14.4 to 24.6; P <
0.001]. Also, by adjusting for the baseline values, there was a
statistically significant difference in the mean level of blood glucose
at the time points of one hour after GTT [-21.6; -32.1 TO -11.1; P
< 0.001] and two hours after GTT [-17.3; -23.0 to -11.6; P
< 0.001]. No statistically significant difference was seen in the
FBS (P = 0.443) and quality of life (P = 0.264) four weeks after the
intervention. Conclusions Self-care education can improve self-care
behavior in women with gestational diabetes and it is also effective in
impaired glucose tolerance.
