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Korean J Women Health Nurs > Volume 24(4); 2018 > Article
Korean Journal of Women Health Nursing 2018;24(4):367-378.
DOI: https://doi.org/10.4069/kjwhn.2018.24.4.367    Published online December 20, 2018.
Effects of a Postnatal Care Program on Self-efficacy, Self-management, and Glycemic Control in Women with Gestational Diabetes Mellitus
Yeong Kyung Jeon, Hyo Jin Kim, Mi Yeon Yang, Da Yeong Jung, Kum Young Yoon, Gie Ok Noh
1Nurse, Samsung Medical Center, Seoul, Korea.
2Unit Manager, Samsung Medical Center, Seoul, Korea.
3Assistant Professor, College of Nursing, Konyang University, Daejeon, Korea. nkorn91@konyang.ac.kr
Abstract
PURPOSE
To examine effects of a postnatal care program on self-efficacy, self-management, and glycemic control in women with gestational diabetes mellitus (GDM).
METHODS
A non-equivalent control group non-synchronized quasi-experimental design was used. Sixty-two women with GDM were enrolled and assigned to either an experimental group (n=30) or a control group (n=32). The experimental group received an intervention which was postnatal care program for women with GDM. The postnatal care program for GDM included an individual education with leaflet and mobile web-based video with three times of telephone counseling. Effects of the intervention were measured with self-efficacy, self-management questionnaire, and a 75 g oral glucose tolerance test (75g OGTT). Statistical significance was examined using independent t-test and χ2-test.
RESULTS
Although there was no significant difference in 75g OGTT (χ2=.11, p=.748) or self-management (t=−1.28, p=.206), there was a statistically significant increase in self-efficacy (t=−2.02, p=.048) in the experimental group compared to that in the control group.
CONCLUSION
A postnatal care program is needed for women with GDM to improve their self-efficacy. Further studies are warranted to improve self-management and glycemic control through tailored education for GDM postpartum women.
Key Words: Gestational diabetes; Postnatal care; Self-efficacy; Self-management; Blood glucose


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