Effects of Self-care Education on Perceived Stress in Women with Gestational Diabetes under Insulin Treatment

Khadivzadeh, Talat and hoseinzadeh, Maryam and Azhari, Sedigheh and Esmaily, Habibollah and Akhlaghi, Faridej and Sardar, Mohammad Ali (2015) Effects of Self-care Education on Perceived Stress in Women with Gestational Diabetes under Insulin Treatment. Evidence Based Care, 5 (3). pp. 7-18.

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Background: Gestational diabetes (GA) is a common complication, associated with adverse prenatal outcomes and perceived stress. The effects of education on perceived stress have been widely investigated, whereas the role of self-care in GA has been less noted. Aim: to determine the effects of self-care education on perceived stress in women with GA under insulin treatment. Methods: In this randomized controlled trial, 60women with GA under insulin treatment (at 24-30 weeks of gestation), referring to the diabetes clinic of Mashhad Omolbanin Hospital, were divided into intervention and control groups in 2014. Self-care education included four one-hour sessions (one-week intervals) in groups consisting of 6-8 members. The researcher-made self-care questionnaire and Cohen�s Perceived Stress Scale were completed before and four weeks after the intervention. Independent t-test, Mann-Whitney and covariance analysis were performed, using SPSS version 16. Results: The mean age of the participants was 32.4±0.5 years in the intervention group and 31.4±4.8 years in the control group. Before the intervention, the perceived stress score in the intervention group (27.6±8.0) was not significantly different from that of the control group (27.5±6.8) (P=0.74). However, after the intervention, the scores significantly reduced in the intervention group (23.4±8.3), compared to the control group (28.1±7.5) (P<0.001). Conclusion: Self-care education might improve self-care and reduce perceived stress in patients with GA. Therefore, self-care is suggested as an effective method for reducing stress in these patients.

Item Type: Article
Subjects: WY Nursing
Divisions: Journals > Evidence-based Care
Depositing User: ebcj ebcj
Date Deposited: 04 Sep 2017 14:38
Last Modified: 04 Sep 2017 14:38
URI: http://eprints.mums.ac.ir/id/eprint/455

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