The effects of health care programs for gestational diabetes mellitus in South Korea: a systematic review

Abstract

The purpose of this study was to investigate the effects and characteristics of health care programs for pregnant women with gestational diabetes mellitus (GDM) in Korea. This study was conducted according to the Cochrane Collaboration’s systematic literature review handbook and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guideline. We searched eight international and domestic electronic databases for relevant studies. Two reviewers independently selected the studies and extracted data. For each study, information on the research method, participants, characteristics of the program, and results were extracted using a previously established coding table. The National Evidence-based Healthcare Collaborating Agency’s risk of bias assessment tool for non-randomized studies was used to assess the risk of bias of the included articles. A qualitative review of the selected studies was performed because the interventions differed considerably and the measured outcomes varied. Out of 128 initially identified papers, seven were included in the final analysis. The risk of bias was evaluated as generally low. Health care programs for pregnant women with GDM showed positive effects on blood glucose control. Anxiety and depression were reduced, and self-management and self-care behavior, self-efficacy, and maternal identity improved. Our study provides clinical evidence for the effectiveness of health care programs for pregnant women with GDM, and its results can be used to support the development of health care programs for GDM. More well-designed research is needed on GDM, especially studies that deal with emotional stress and apply a family-oriented approach.

Effects of nursing intervention programs for women with gestational diabetes: a systematic review of randomized controlled trials

“…의 임산부들을 대상으로 3일 동안 30분씩 중재군에게 지압을 적용 한 효과를 측정하였더니, 임산부의 불안도와 그 심각도가 유의하게 감소하였다 [27]. [34,35], 거구증 [34,36], 혈당 감소 [11,37], 우울 [11,36]…”

Impact of a tailored-care education programme on maternal and neonatal outcomes in pregnant women with gestational diabetes: a randomized controlled trial

“…Education programmes for pregnant women with GDM aiming to strengthen self-care are needed [ 13 ]. The present study aimed to assess the effectiveness of a tailored-care education programme on maternal and neonatal outcomes in pregnant women with GDM.…”

“…Therefore, it is crucial to implement face-to-face education programmes for this population. According to the literature, different interventions were carried out to manage GDM [ 9 , 13 - 18 ]. Most of them were information technology (IT) programmes such as mobile health using smartphone applications X 18 , 19 ], educational digital optical disc (DVD) [ 11 ], and web-based programmes [ 9 , 17 , 18 ].…”

Effects of nonpharmacological interventions on the psychological health of high-risk pregnant women: a systematic review and meta-analysis

“…Many intervention studies have been conducted for high-risk pregnant women. However, those studies mainly focused on changes in physical health indicators [10][11][12], including reductions in blood pressure [12], improvement of blood glucose levels [13], postpartum weight loss [11], and lowering of blood glucose levels in newborns [14]. Most systematic reviews of intervention studies on pregnant women with PTL only confirmed the treatment effect by applying drugs, tests, or treatment guidelines to prevent premature birth [10,15,16].…”