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

Abstract

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.

Practise of self-monitoring of blood glucose among pregnant women with gestational diabetes mellitus: A review

“…22 According to Sousa AM da S et al, 17% of GDM patients reported that the lancet of the needle and the duration of time it took to perform the SMBG test were obstacles to SMBG. 23 This is line with findings from other studies which mentions that patients find SMBG inconvenient because of pain, a cumbersome procedure, difficult to adopt SMBG as a daily routine practise, cost of the test strips and needles and carrying glucometer while travelling. 28,29 24 In 40 low-and lower-middle-income nations in Africa, South Asia, and Latin America, including India, a cross-sectional survey was carried out.…”

Comparing the Efficacies of Telemedicine and Standard Prenatal Care on Blood Glucose Control in Women With Gestational Diabetes Mellitus: Randomized Controlled Trial

“…In other words, greater self-efficacy results in better patient management. In addition, among all kinds of patient education and lifestyle interventions, dietary changes are the most difficult recommendations to follow [ 14 ]. Factors that impede the implementation of medical recommendations include social activities such as eating out, cultural factors such as the consumption of specific kinds of food, family impacts such as the rejection of the concept of an individual serving size, obsolescent views on pregnancy, and women’s family-centered values and role commitments [ 27 , 28 ].…”

“…These factors may lead to consequences, such as reducing GDM management efficiency and causing poor pregnancy outcomes [ 13 ]. It was reported that good adherence of patients with GDM to clinical recommendations was observed, especially in relation to BG monitoring, but nutritional guidelines were less likely to be followed [ 14 ]. Given the limited intervention time window, the importance of continuous patient education and self-management supervision during the periods between antenatal care visits should be strongly emphasized.…”