Clinical Association Between Gestational Diabetes Mellitus and Quality of Life Among Women

Abstract

Introduction: Gestational Diabetes Mellitus rises the chance of health problems both risks development for the mom, and fetus. With adverse effects on psychological and medical well-being meaning a diminished in Quality of Life (QOL). Aim: To explore quality of life among women with gestational diabetes. Methods: A descriptive design was used for the study. The study was conducted at outpatient clinics of Suez Canal University Hospital. This study was conducted during June 2017 to December 2018. Convenience sample of two hundred pregnant women medically diagnosed with gestational diabetes were considered. Interview questionnaire sheet included five parts and QOL scale according to (Quality of life index diabetes version-111). Results: A sum of 200 mothers diagnosed with GDM were studied, their age range between 20-42, with Mean ±SD 29.7 ± 5.8 years, with gestational diabetes (53%). The quality of life to be the best in the social/economic domain, psychological/ spiritual domain, family domain and slightly worse in the health and functioning domain (66%, 64%, 48.0% and 32.0% respectively). There is highly significant difference between age, university education, living in urban area and knowledge. There is positive significant correlation between health and functioning domain, social economic domain, psychological spiritual domain and family domain with p<0.001. Conclusion: More than two thirds of the studied mothers were satisfied with both social/economic and psychological/ spiritual domains. Majority of studied mothers have appropriate knowledge about management of hypoglycemia. More than three fourth of studied sample did not have knowledge about symptoms of GDM. Recommendations: Designing guideline and brochure must be distributed among women attending antenatal clinic about self-care to promote their health concerning gestational diabetes.

Assessment of quality of life among antenatal women with gestational diabetes mellitus

“…These findings are supported by another study conducted at the outpatient clinic of Suez Canal university hospital, Egypt to explore the clinical association between gestational diabetes mellitus and QoL (QoL index diabetes version-111) which found a similar score of (64%) in the psychological and spiritual domain. 11 The present results are confirmed and supported by other studies to assess the QoL among pregnant women with gestational diabetes mellitus in which the pregnant women reported highest level of QoL in environment and the social domains. 14 The study finding shows that age was found to be significantly associated with the level of QoL (p=0.039), type of family (p=0.049), treatment received (p=0.037), and past history of obstetrical complications (p=0.05).…”

“…10 According to a systematic review of QoL in women with GDM (2017), GDM is the most common metabolic disorder affecting 7% of all pregnancies not only causing negative medical outcomes but also affecting QoL. 11 Another systematic review showed that 87.3% of the total sample reported a negative impact of GDM on their social life in terms of QoL and stated that, in women suffering from GDM, their QoL is significantly worse in both the long term and short term (Italy, October 2016). Which indicated a strong need for further studies in future to examine the impact of QoL in GDM mothers by promoting their illness acceptance related to GDM and healthy lifestyle behavior modifications.…”

Differences in Glucose Control of Diabetic Patients with Family Care Support Interventions

“…Previous research involving family intervention has found that a family has a full role in regulating diet, monitoring regular medication-taking, and controlling health; however, the family has not fully played a role in the physical activities of DM patients (Hao et al, 2022). The family's ability to provide care for family members who suffer from DM has increased by using supportive group therapy interventions (Shama et al, 2020). Another study conducted a diabetes education program without involving the family for six months; the study revealed positive changes in the respondents' diet plans, glucose monitoring, regular medication-taking, physical activities, and stress levels (Andriyanto et al, 2019).…”