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통합 자가관리 프로그램이 임신성 당뇨병 임부의 자가관리, 혈당 및 모성 정체성에 미치는 효과

Other Titles
 Effects of an Integrated Self-Management Program on Self-Management, Glycemic Control, and Maternal Identity in Women with Gestational Diabetes Mellitus 
Authors
 김희숙  ;  김수 
Citation
 JOURNAL OF KOREAN ACADEMY OF NURSING, Vol.43(1) : 69-80, 2013 
Journal Title
 JOURNAL OF KOREAN ACADEMY OF NURSING 
ISSN
 2005-3673 
Issue Date
2013
MeSH
Adaptation, Psychological ; Adult ; Blood Glucose/analysis ; Counseling ; Diabetes, Gestational/psychology* ; Female ; Gestational Age ; Glycated Hemoglobin A/analysis ; Humans ; Pregnancy ; Program Evaluation ; Self Care* ; Women/psychology*
Keywords
Gestational diabetes ; Maternal-child nursing ; Self-management
Abstract
Purpose: The purpose of the study was to investigate the effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus (GDM). Methods: A non-equivalent control group non-synchronized quasi-experimental design was used. A total of 55 women with GDM were recruited from Cheil General Hospital, Seoul, Korea and were assigned to an experimental (n=28) or control group (n=27). The participants were 24-30 weeks pregnant women who had been diagnosed with GDM as of July 30, 2010. The program was conducted as a 1 hour small group meeting 3 out of 5 times and by telephone-counseling 2 out of 5 times. The integrated self-management program was verified by an expert panel. Results: Although there was no significant reduction in HbA1c (U= -1.17, p=.238), there were statistically significant increases in self-management (U= -3.80, p<.001) and maternal identity (U= -4.48, p<.001), and decreased 2-h postprandial glucose levels (U= -2.43, p<.015) in the experimental group compared to the control group. Conclusion: These findings suggest that an integrated self-management program for women with GDM improves self-management, maternal identity, and glycemic control. Further studies are needed to identify the effects of an integrated self-management program on pregnancy and neonatal outcomes.
Files in This Item:
T201305223.pdf Download
DOI
10.4040/jkan.2013.43.1.69
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sue(김수) ORCID logo https://orcid.org/0000-0003-3785-2445
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88845
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