Journal of Education and Health Promotion

The effect of couple supportive counseling on self‑efficacy in women with insulin‑treated gestational diabetes: A randomized clinical trial

. Sahar Rostampour; . Fatemeh Erfanian Araghvanian; . Masoumeh Kordi; . Farideh Akhlaghi; . Seyyed Mohsen Asghari Nekah; . Mohammad Taghi Shakeri

Volume 13, Issue 2 , February 2023, , Pages 1-7

Abstract

BACKGROUND: Gestational diabetes is the most common medical complication and a commonmetabolic disorder during pregnancy. Increasing people’s self‑efficacy is one of the best ... Read More BACKGROUND: Gestational diabetes is the most common medical complication and a commonmetabolic disorder during pregnancy. Increasing people’s self‑efficacy is one of the best ways tocontrol this disease. As there is a lag of intervention in this regard, the purpose of this study was todetermine the effect of couple supportive counseling on self‑efficacy in women with insulin‑treatedgestational diabetes.MATERIALS AND METHODS: In this randomized clinical trial, 64 women with gestational diabeteswho referred to diabetes clinic of Mashhad Ommolbanin Hospital were divided into intervention andcontrol groups through block randomization during 2019. Their gestational age was in 26–30 weeks.For the couples in the intervention group, three couple supportive counseling session was held. Eachsession lasted 1 h and was held one time per week. The instruments were diabetes self‑efficacyquestionnaire, fasting and 2‑h postprandial checklist and Cassidy social support, which were assessedbefore and 4 weeks after intervention in both groups. Data was analyzed by SPSS software version 25through Mann–Whitney and Wilcoxon test. P values of < 0.05 were reported to be significant.RESULTS: In the preintervention, the diabetes self‑efficacy score had no significant differencein the intervention (30/6 ± 38/50) and control groups (09/8 ± 56/51) (P = 515/0). However, inthe postintervention, the diabetes self‑efficacy score was significantly higher in the interventiongroup (58/6 ± 41/71) compared to the control group (15/7 ± 31/51) (P < 001/0). Also, before theintervention, there was no significant difference between the intervention (30/2 ± 72/10) and controlgroup (87/1 ± 63/11) (P = 137/0) regarding social support. However, after the intervention, there wasa significant difference between the intervention and control groups (879/0 ± 53/13, 03/2 ± 41/11,P < 0/001 respectively). Also, data analysis showed a significant correlation between self‑efficacyand social support (r = 0.451, P < 0.001), self‑efficacy and fasting blood sugar (P < 0.001, r = ‑0.577),and 2 h post prandial (r = ‑0.778, P < 0.001).CONCLUSION: Couple supportive counseling leads to increased self‑efficacy and social supportin pregnant women with gestational diabetes. Therefore, it is recommended to use this counselingas an effective method in the management of diabetic pregnant women during their prenatal careto have a healthier pregnancy.

The relationship between lifestyle and metabolic evaluation in women with a history of gestational diabetes

. Esmat Bahador; . Maryam Saber; . Mohammad Mehdi FadakarDavarani1; . Narges Khanjani; . Batol Hosseini Gohari; . Hadise Safinejad

Volume 11, Issue 9 , October 2021, , Pages 1-8

Abstract

BACKGROUND: Gestational diabetes is one of the most common metabolic diseases duringpregnancy. The risk of a lifestyle role in the prevention of metabolic syndrome in women with a historyof ... Read More BACKGROUND: Gestational diabetes is one of the most common metabolic diseases duringpregnancy. The risk of a lifestyle role in the prevention of metabolic syndrome in women with a historyof gestational diabetes has now been identified. The present study was performed to investigate therelationship between lifestyle and metabolic syndrome in women with a history of gestational diabetes.MATERIALS AND METHODS: The present study was a retrospective case–control study that wasperformed on 90 women (45 women with a history of gestational diabetes and 45 women without ahistory of gestational diabetes) in Kerman health centers 5 years after delivery in 2020. Data werecollected using a demographic questionnaire and a standardized Walker lifestyle Health promotingLifestyle profile II questionnaire. The reference laboratory was also used to perform the experiments.SPSS21 software and Spearman’s and Chi‑square tests were used to analyze the data.RESULTS: The mean age was 35.67 in the case group and 34.27 in the control group (P = 0.230).Lifestyle did not show any difference between the two groups (P = 0.058). However, metabolicevaluation was different in the two groups (P = 0.030). Furthermore, the results of Spearman’s testto examine the relationship between lifestyle and other variables studied showed that in the casegroup (P = 0.075) and in the control group (P = 0.819) there was no relationship between lifestyleand metabolic assessments 5 years after delivery.CONCLUSIONS: In case group women, it is possible to prevent the progression to type 2 diabetesand disturb the metabolic assessment by teaching a healthy lifestyle and timely follow‑up afterdelivery. A history of gestational diabetes can be one of the causes of type 2 diabetes and metabolicsyndrome. Getting training to change your lifestyle during pregnancy and postpartum can reduce theincidence of gestational diabetes and type 2 diabetes. Screening pregnant women during childbirthis a good opportunity to diagnose diabetes early and predict it in the coming years.

Lifestyle intervention for gestational diabetes prevention in rural woman of Shoush city

. Zahra Karimipour; . Nasibeh Sharifi; . Hossein Seydkhani; . Hojat Sayadi; . Mohsen Jalilian

Volume 11, Issue 4 , May 2021, , Pages 1-7

Abstract

BACKGROUND: Physical activity and nutrition interventions are the most important ways to preventgestational diabetes. The purpose of the study was to determine the effect of healthy ... Read More

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Keywords = gestational diabetes

The effect of couple supportive counseling on self‑efficacy in women with insulin‑treated gestational diabetes: A randomized clinical trial

Abstract

The relationship between lifestyle and metabolic evaluation in women with a history of gestational diabetes

Abstract

Lifestyle intervention for gestational diabetes prevention in rural woman of Shoush city

Abstract