Effect of Educational Sessions on Knowledge, Attitude and Self - Care Practices among Pregnant Women with Gestational Diabetes

Abstract

Background: Gestational Diabetes is associated with severe maternal, fetal and neonatal complications. Health education about regular exercises, dietary adjustment and proper taking of medication is important part in the care of women with gestational diabetes. Nurses have a significant role in educating women how to prevent and reduce gestational diabetes adverse effects on pregnancy outcomes. Aim: This study aimed to assess the effect of educational sessions on knowledge, attitude and self-care practices among pregnant women with gestational diabetes. Methods: A quasi experimental pretest/posttest research design was used at the antenatal outpatient clinics of Mansoura University Hospitals, Egypt. A purposive sample of 97 gestational diabetic women was studied, who aged 18-35 years, gestational age 24-27 weeks, have single live fetus. Data was collected for pregnant women knowledge about gestational diabetes using gestational diabetes knowledge questionnaire, pregnant women attitudes regarding gestational diabetes using diabetic attitude scale and pregnant women self-care practices using diabetic self-care practices questionnaire. Results: Post intervention, pregnant women had good knowledge score (77.3%), improved total positive attitudes score (91.8%) and improved total good self-care practices score (90.7%) regarding gestational diabetes. There were statistically significant differences (p<0.001). Conclusion: The current study hypotheses were accepted where pregnant women's knowledge, attitude and self-care practices regarding gestational diabetes were improved after implementation of the educational sessions. There were statistically significant differences between those variables before and after the intervention. Recommendations: The current study recommended that, simple clarified educational programs should be continuously implemented to increase women's knowledge and improve their attitude about gestational diabetes as well as promote their self-care practices and lifestyle. Also, training courses and workshops about gestational diabetes care and management for health care providers at antenatal units should be conducted on regular intervals.

Effect of Counseling Program based on Health Literacy Model regarding Gestational Diabetes on Maternal and Fetal outcomes

“…This result is similar with Ansarzadeh et al (2020) (29) who examined factors affecting the quality of life in women with gestational diabetes mellitus and reported that the majority of participants (73.0%) had a history of disease in their first-degree relatives. In addition, this finding is consistent with Groof et al (2019) (30) who studied prevalence, risk factors, and feto maternal outcomes of gestational diabetes mellitus in kuwait: a cross sectional study and mentioned that the women with family history of GDM were more likely to have GDM than those with no family history of GDM. Moreover, Kumari et al (2018) (31) evaluated maternal and perinatal outcome in gestational diabetes mellitus in a tertiary care hospital in delhi and reported that family history of diabetes was observed in a significantly higher number of GDM women.…”

“…Gestational diabetes leads to maternal, fetal and neonatal complications as preeclampsia, polyhydramnios, preterm labor, shoulder dystocia, infection, cesarean section, fetal demise, fetal malformation, macrosomia, hypoglycemia, hyperbilirubinemia, respiratory distress syndrome and perinatal mortality. Furthermore, in later life, other complications may develop and affect both women and their infants as obesity, type 2 diabetes mellitus, heart diseases and neuropsychological problems (4) .…”

Evidências Científicas Relacionadas Aos Conhecimentos, Atitudes E Prática De Gestantes Sobre O Controle Glicêmico

“…O compilado de variáveis resultantes da presente amostra sobre conhecimento engloba: sintomas (HODA et al, 2018;KIM et al, 2020;EL-ANSARY;FOUAD, 2020), manejo (HODA et al, 2018;KIM et al, 2020;BHOWMIK et al, 2018), efeito maternofetal (HODA et al, 2018;BHOWMIK et al, 2018;DRAFFIN et al, 2018;MONIR;ZEBA;RAHMAN, 2018), métodos preventivos, manejo da hipoglicemia, sinais de risco materno-fetal (HODA et al, 2018), mensuração da glicemia em domicílio (HODA et al, 2018;DRAFFIN et al, 2018), frequência de mensuração da glicemia (HODA et al, 2018), seguimento da dieta (HODA et al, 2018;EL-ANSARY;FOUAD, 2020;MONIR;ZEBA;RAHMAN, 2018), atividade física (HODA et al, 2018), período de rastreamento (BHOWMIK et al, 2018), fatores de risco (EL-ANSARY; FOUAD, 2020; MONIR; ZEBA; RAHMAN, 2018), aconselhamento pré-concepção (BHOWMIK et al, 2018), possibilidade de acometimento da criança por diabetes (BHOWMIK et al, 2018), definição da doença KIM et al, 2020;EL-ANSARY;FOUAD, 2020;ANSARZADEH et al, 2020), amamentação em mães com DMG (KIM et al, 2020), lidar com o diagnóstico de DMG (DRAFFIN et al, 2018), tratamento (EL-ANSARY;FOUAD, 2020;DRAFFIN et al, 2018;MONIR;ZEBA;RAHMAN, 2018;ANSARZADEH et al, 2020), desafi...…”

“…No entanto, orientações sobre os princípios gerais de uma dieta saudável não devem causar essas preocupações. Evidências como esta dão indícios da falta de conhecimento relacionada à dieta, assim como ausência de explicações claras sobre os hábitos Foi observado que mulheres com DMG acreditam que mensagens de texto como suporte e educação enviadas via SMS aumentam a satisfação com a equipe de saúde, proporcionando maior conforto sobre as formas de cuidado profissional (EL-ANSARY;FOUAD, 2020;ANSARZADEH et al, 2020). Estudo quase-experimental que explorou o efeito do modelo de ensino de intervenção na atitude de pacientes com DMG, concluiu que a ação do interventor promoveu a formação de atitudes adequadas sobre a doença e, finalmente, orientou a formação de comportamentos saudáveis das pacientes com DMG (YANG et al, 2020).…”