بررسي تاثير مداخله آموزشي مبتني بر مدل خودتنظيمي بر استرس درك شده زنان مبتلا به ديابت بارداري: يك مطالعه كارآزمايي باليني تصادفي شده

Examining the effect of educational intervention based on self-regulation model on perceived stress in women with gestational diabetes: A clinical trial study

بارداري و زايمان يكي از مهم ترين رخدادهاي زندگي زنان است كه مي تواند عوارض قابل توجهي بر زندگي زنان داشته باشد. يكي از اين عوارض، ديابت بارداري است كه مي تواند با پيامدهاي جسمي و رواني همراه باشد. درك از بيماري ارزش پيشگويي كننده اي در ارتقاي رفتارهاي بهداشتي بيماران دارد. لذا مطالعه حاضر با هدف بررسي تاثير مداخله آموزشي مبتني بر مدل خودتنظيمي بر استرس درك شده زنان مبتلا به ديابت بارداري انجام شد. مواد و روش ها اين مطالعه يك كارآزمايي باليني تصادفي شده شاهد دار بود. نمونه ها از بين زنان مبتلا به ديابت بارداري بستري در بخش پره ناتال بيمارستان الزهرا شهر رشت (از اسفند 96 تا شهريور 97) انتخاب و به روش بلوك بندي چهارتايي تصادفي در دو گروه كنترل (40نفر) و آزمون (40نفر) قرار گرفتند. پرسش نامه مشخصات دموگرافيك و استرس درك شده در هر دو گروه تكميل شد. در گروه آزمون، مداخله آموزشي مبتني بر مدل خود تنظيمي به صورت انفرادي در 3 جلسه روزانه اجرا شد. پس از اتمام مداخله و 4 هفته پس از مداخله، مجددا پرسش نامه استرس درك شده در هر دو گروه تكميل شد. يافته ها ﻗﺒﻞ از ﻣﺪاﺧﻠﻪ ﺑﯿﻦ ﻣﺸﺨﺼﺎت دﻣﻮﮔﺮاﻓﯿﮏ و اﺳﺘﺮس دركﺷﺪه دو ﮔﺮوه، اﺧﺘﻼف ﻣﻌﻨﯽداري وﺟﻮد ﻧﺪاﺷﺖ )0/65=p(. ﺑﻼﻓﺎﺻﻠﻪ ﭘﺲ از ﻣﺪاﺧﻠﻪ )0/001

Pregnancy and childbirth is one of the most important events in women's life, which can have significant effects on women's lives. Among these complications, gestational diabetes can be associated with physical and psychological consequences. Understanding the understanding of the disease has a predictive value in improving the health behaviors of patients. The purpose of this study was to investigate the effect of self-regulation theory based educational intervention on perceived stress in women with gestational diabetes. Materials and Methods This study was a randomized controlled clinical trial. Samples were selected from women with gestational diabetes in the prenatal ward of Alzahra hospital in Rasht (March 2018 to September 2018). Demographic characteristics and perceived stress questionnaires were completed in both groups. In the intervention group, the educational intervention was based on perception of the disease individually in 3 sessions daily. After the intervention and 4 weeks after the intervention, the perceived stress questionnaire was completed in both groups again. Results Before intervention, there was no significant difference between demographic characteristics and perceived stress in the two groups (p=0.65). Immediately after the intervention (p<0.001) and one month after the intervention, the perceived stress scores of the experimental group (18.5±3.24) compared to the control group (23.20±7.87) were significantly decreased (p<0.002). Conclusion The results of the present study showed that self-regulation model based educational intervention can decrease the perceived stress of women with gestational diabetes. Therefore, this intervention is recommended as a useful, easy and low cost method for women with gestational diabetes to reduce stress in them.