Alayoub H, Curran S, Coffey M, Hatunic M, Higgins M
UCD School of Medicine, Dublin 2, Ireland.
Clinical Nutrition & Dietetics, National Maternity Hospital, Dublin 2, Ireland.
Ir J Med Sci. 2018 Feb;187(1):65-68. doi: 10.1007/s11845-017-1609-9. Epub 2017 May 5.
Gestational diabetes mellitus (GDM) is identified in pregnancy and resolves following delivery. It increases maternal and foetal morbidity and may increase risk of future type 2 diabetes. Women diagnosed with GDM need high-quality multidisciplinary education in order to apply necessary changes to their diet and lifestyle. There is a paucity of information on the effectiveness of group education for women with GDM.
The aim of this study was to assess the effect of a multidisciplinary group intervention delivered by a specialist midwife and dietitian on women's knowledge of GDM.
All women with a diagnosis of GDM were invited to attend a multidisciplinary group educational session on lifestyle and GDM management. Participants were invited to complete a questionnaire before and after the educational intervention; only individuals who completed both questionnaires were included. The questionnaire reviewed knowledge of suitable diet, implications of GDM diagnosis and management of GDM.
A total of 716 women completed both questionnaires; mean age of the participants was 34 years. Just under half of women (46.9%, n = 333) were primiparous. The majority of the women (62.5%, n = 439) were Irish; 53.4% (n = 382) had a family history of diabetes. There was a significant increase in median score for knowledge following the educational intervention (pre-intervention score 8 (-2-12); post-intervention score 12 (1-12); p < 0.001).
This study demonstrates the benefit of a multidisciplinary group educational session delivered by a specialized midwife and a dietitian on pregnant women's knowledge and understanding of GDM.
妊娠期糖尿病（GDM）在孕期被诊断出来，产后会消失。它会增加孕产妇和胎儿的发病率，还可能增加未来患2型糖尿病的风险。被诊断为GDM的女性需要高质量的多学科教育，以便对其饮食和生活方式做出必要改变。关于GDM女性群体教育效果的信息匮乏。
本研究的目的是评估由专科助产士和营养师提供的多学科群体干预对女性GDM知识的影响。
所有被诊断为GDM的女性都被邀请参加关于生活方式和GDM管理的多学科群体教育课程。参与者被邀请在教育干预前后完成一份问卷；仅纳入完成两份问卷的个体。该问卷回顾了合适饮食的知识、GDM诊断的影响以及GDM的管理。
共有716名女性完成了两份问卷；参与者的平均年龄为34岁。略少于一半的女性（46.9%，n = 333）为初产妇。大多数女性（62.5%，n = 439）是爱尔兰人；53.4%（n = 382）有糖尿病家族史。教育干预后知识的中位数得分显著增加（干预前得分8（-2 - 12）；干预后得分12（1 - 12）；p < 0.001）。
本研究证明了由专科助产士和营养师提供的多学科群体教育课程对孕妇GDM知识和理解的益处。
