Ko Jung Mi, Lee Jong Kyung
Department of Nursing, Cheongju University, Cheongju, Korea.
Department of Nursing, Dankook University, Cheonan, Korea.
J Korean Acad Nurs. 2014 Dec;44(6):672-81. doi: 10.4040/jkan.2014.44.6.672.
The purpose of this study was to investigate the effects of using a Coaching Program on Comprehensive Lifestyle Modification with pregnant women who have gestational diabetes.
The research design for this study was a non-equivalent control group quasi-experimental study. Pregnant women with gestational diabetes were recruited from D women's hospital located in Gyeonggi Province from April to October, 2013. Participants in this study were 34 for the control group and 34 for the experimental group. The experimental group participated in the Coaching Program on Comprehensive Lifestyle Modification. The program consisted of education, small group coaching and telephone coaching over 4weeks. Statistical analysis was performed using the SPSS 21.0 program.
There were significant improvements in self-care behavior, and decreases in depression, fasting blood sugar and HbA1C in the experimental group compared to the control group. However, no significant differences were found between the two groups for knowledge of gestational diabetes mellitus.
The Coaching Program on Comprehensive Lifestyle Modification used in this study was found to be effective in improving self-care behavior and reducing depression, fasting blood sugar and HbA1C, and is recommended for use in clinical practice as an effective nursing intervention for pregnant women with gestational diabetes.
本研究旨在调查使用辅导计划对患有妊娠期糖尿病的孕妇进行综合生活方式改变的效果。
本研究的研究设计为非等效对照组准实验研究。2013年4月至10月，从京畿道的D妇女医院招募患有妊娠期糖尿病的孕妇。本研究的参与者中，对照组有34人，实验组有34人。实验组参加了综合生活方式改变辅导计划。该计划包括4周的教育、小组辅导和电话辅导。使用SPSS 21.0程序进行统计分析。
与对照组相比，实验组的自我护理行为有显著改善，抑郁、空腹血糖和糖化血红蛋白水平降低。然而，两组在妊娠期糖尿病知识方面未发现显著差异。
本研究中使用的综合生活方式改变辅导计划被发现可有效改善自我护理行为并降低抑郁、空腹血糖和糖化血红蛋白水平，建议在临床实践中作为对患有妊娠期糖尿病的孕妇的有效护理干预措施使用。
