임신성 당뇨병 산모를 위한 산후관리 프로그램이 자기효능감, 자가 관리 및 혈당 조절에 미치는 영향

• Published in: Korean journal of women health nursing Vol. 24; no. 4; pp. 367 - 378
• Main Authors: 전영경, Jeon Yeong Kyung, 김효진, Kim Hyo Jin, 양미연, Yang Mi Yeon, 정다영, Jung Da Yeong, 윤금영, Yoon Kum Young, 노기옥, Noh Gie Ok
• Format: Journal Article
• Language: Korean
• Published: 한국여성건강간호학회 01.12.2018
• Subjects: Blood glucose; Gestational diabetes; Postnatal care; Self-efficacy; Self-management; 산후관리 프로그램; 임신성 당뇨병; 자가 관리; 자기효능감; 혈당
• ISSN: 2287-1640; 2093-7695
• DOI: 10.4069/kjwhn.2018.24.4.367

Purpose: To examine effects of a postnatal care program on self-efficacy, self-management, and glycemic control in women with gestational diabetes mellitus (GDM). Methods: A non-equivalent control group non-synchronized quasi- experimental design was used. Sixty-two women with GDM were enrolled and assigned to either an experimental group (n=30) or a control group (n=32). The experimental group received an intervention which was postnatal care program for women with GDM. The postnatal care program for GDM included an individual education with leaflet and mobile web-based video with three times of telephone counseling. Effects of the intervention were measured with self-efficacy, self-management questionnaire, and a 75 g oral glucose tolerance test (75g OGTT). Statistical significance was examined using independent t-test and x 2 -test. Results: Although there was no significant difference in 75g OGTT (x 2 =.11, p=.748) or self-management (t=-1.28, p=.206), there was a statistically significant increase in self-efficacy (t=-2.02, p=.048) in the experimental group compared to that in the control group. Conclusion: A postnatal care program is needed for women with GDM to improve their self-efficacy. Further studies are warranted to improve self-management and glycemic control through tailored education for GDM postpartum women.