Effects of an Integrated Self-Management Program on Self-Management, Glycemic Control, and Maternal Identity in Women with Gestational Diabetes Mellitus

Kim, Hee Sook; Kim, Sue

doi:10.4040/jkan.2013.43.1.69

Cited by 18 publications

(54 citation statements)

References 17 publications

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“…The better the control of blood glucose, the better the monitoring of the pregnancy, because its values are the basis for monitoring GDM during prenatal care. [11][12][13][14] Studies affirm that special care, such as the attention that can be provided through telephone contact, encourages the participation of patients, as if making a sense of responsibility for the care of their own health arise. When patients are motivated, control over their health care is improved.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Sousa

Fiuza

Mikami

et al. 2016

Rev. Assoc. Med. Bras.

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Objective:To evaluate the retention of information after participation in multidisciplinary group in patients with gestational diabetes mellitus (GDM) through a phone contact. Method: 122 pregnant women diagnosed with gestational diabetes were included. After diagnosis of gestational diabetes, the patients were referred to the multidisciplinary group where they received medical, nutrition and nursing guidelines related to the disease. After three days these patients received one telephone call from a nurse, who made the same questions regarding the information received. In the statistical analysis, results were presented as absolute and relative frequencies. Results: Most patients 119/122 patients (97.5%) were managing to do self glucose monitoring. Twenty-one patients (17.2%) reported having difficulty performing the blood glucose, especially finger pricking. When questioning whether the woman was following the proposed diet, 24/122 (19.7%) patients said they did not; the meal frequency was not reached by 23/122 (18.9%) of the women, and forty-seven (38.5%) of the women reported having ingested sugar in the days following the guidance in multidisciplinary group. Conclusion: Regarding the proposed treatment, there was good adherence of patients, especially in relation to blood glucose monitoring. As for nutritional control, we observed greater difficulty in following the guidelines demonstrating the need for long-term monitoring, as well as further clarification to the patients about the importance of nutrition in diabetes management.

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Section: Resultsmentioning

confidence: 99%

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Sousa

Fiuza

Mikami

et al. 2016

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

show abstract

“…Internal consistency ensures that the elements of a theory, the meaning and clarity of the concepts, and terms and definitions are consistent [10]. In the 11 studies reviewed in this study, [17][18][19][20][21][22][23][24][25][26][27] only seven experimental studies included the three major components of the IMCHB [18,[20][21][22][23][24][25]27]. All the dynamic variables included in elements of the client's singularity were Professional/ technical competencies displayed in two descriptive studies [21,26] and one experimental study [22].…”

Section: Internal Consistencymentioning

confidence: 99%

“…In the 11 studies reviewed in this study, [17][18][19][20][21][22][23][24][25][26][27] only seven experimental studies included the three major components of the IMCHB [18,[20][21][22][23][24][25]27]. All the dynamic variables included in elements of the client's singularity were Professional/ technical competencies displayed in two descriptive studies [21,26] and one experimental study [22]. Of the four studies [21,22,23,25] that aimed to measure intrinsic motivation, that by Hanrungcharotorn et al [21] actually measured extrinsic motivations for health behaviors through support from family, friends, and colleagues, but not intrinsic motivations for self-determinants of health behavior within the IMCHB.…”

Section: Internal Consistencymentioning

confidence: 99%

“…All the dynamic variables included in elements of the client's singularity were Professional/ technical competencies displayed in two descriptive studies [21,26] and one experimental study [22]. Of the four studies [21,22,23,25] that aimed to measure intrinsic motivation, that by Hanrungcharotorn et al [21] actually measured extrinsic motivations for health behaviors through support from family, friends, and colleagues, but not intrinsic motivations for self-determinants of health behavior within the IMCHB. In seven experimental studies, the elements of client-professional interaction were included, but in two studies, the conceptual meaning of "decisional control" and "professional technical competencies" were unclear.…”

Section: Internal Consistencymentioning

confidence: 99%

“…The relationships among the elements and among the concepts are shown in Figure 2. Among the reviewed studies, none measured all 16 sub-concepts, and only three measured affective response, motivation, and cognitive appraisal, corresponding to the dynamic variables affecting health outcomes [21,22,26]. In two studies [18,22] that presented a theoretical framework, the interactions between client's background variables, such as demographic characteristics, social influence, and previous health care experiences, were not specified.…”

Section: Parsimonymentioning

confidence: 99%

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Theoretical evaluation of Cox’s interaction model of client health behavior for health promotion in adult women

Kim

Lee

Ryu

2020

Korean J Women Health Nurs

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Purpose: This literature review aimed to evaluate Cox’s interaction model of client health behavior (IMCHB) as used in studies on women’s health. Methods: Using keyword combinations of “women” and “IMCHB” or “interaction model of client health behavior,” we searched the PubMed, MEDLINE, Embase, and RISS databases for studies on the promotion of women’s health published from January 2009 to April 2019. Finally, 11 studies were selected and evaluated according to seven criteria for theory evaluation, which combined Fawcett’s theory evaluation criteria and Chinn and Kramer’s criteria. Results: We found that the IMCHB corresponds to a verifiable practical level of a middle-range theory, although it may be partially abstract. It contains all four concepts of the metaparadigm of nursing, in terms of a holistic philosophical approach. A theoretical evaluation demonstrated that the IMCHB has significance, generality, testability, empirical adequacy, and pragmatic adequacy for nursing practice and research. However, the lack of clear conceptual definitions and the presence of complex relationships among concepts resulted in a lack of internal consistency and parsimony. Conclusion: According to an in-depth verification through a review of the literature, the IMCHB has been used as a health promotion intervention strategy for various populations of women and has led to useful results in nursing practice. The IMCHB was confirmed to be a suitable theory for experimental and clinical research. Future research can build on this middle-range theory for women’s health research and practice.

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Self-management and self-efficacy of women with gestational diabetes mellitus: a systematic review

Karavasileiadou

Almegewly

Alanazi

et al. 2022

Global Health Action

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Background Gestational diabetes mellitus (GDM) is a temporary form of diabetes induced by pregnancy and is potentially harmful to both the mother and fetus The impact of GDM diagnosis on pregnant women needs to be taken into account. This is related to the capacity for self-management of GDM, for which quality evidence is still lacking. Objective to identify several aspects of self-management and self- efficacy for women with GDM. Method Electronic databases were searched for studies related to the self-management, self-efficacy, and glycemic control of women with GDM, from January 2012 to January 2021. The extraction of study features was based on study location, reported research aims, study design, methodology, and the analytical approach, using Endnote Version X7.7.1. The Critical Appraisal Skills Program Qualitative Checklist (CASP) was used to assess quality, as recommended by the Cochrane Qualitative Research Methods Group. Results Ten out of 70 studies were identified as meeting the established criteria and including a diverse population. The synthesis revealed seven major themes: preliminary psychological impact, communicating the diagnosis, knowledge of GDM, self-efficacy and self-management of GDM, risk perception, the burden of GDM, and gaining control. The benefits of a diagnosis were behavioral and were mostly crystalized if a particular level of self-management and self-efficacy was reached and women were able to have specific control over their diet and body weight. On the other hand, women reported that the diagnosis increased their responsibility, as they had to take extra precautions regarding their dietary regimen. Conclusion Self-management and self-efficacy for GDM management are possible, despite the psychological hurdles that most women confront. There is still potential for improvement in terms of developing a healthy lifestyle that not only manages GDM for the best pregnancy result, but also prevents diabetes after pregnancy.

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Effects of an Integrated Self-Management Program on Self-Management, Glycemic Control, and Maternal Identity in Women with Gestational Diabetes Mellitus

Cited by 18 publications

References 17 publications

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Theoretical evaluation of Cox’s interaction model of client health behavior for health promotion in adult women

Self-management and self-efficacy of women with gestational diabetes mellitus: a systematic review

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