Effectiveness of Self-Care Training on Pregnancy Consequences in Gestational Diabetes: A Randomized Controlled Clinical Trial

Effectiveness of Self-Care Training on Pregnancy Consequences in Gestational Diabetes: A Randomized Controlled Clinical Trial


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نویسندگان: مژگان میرغفوروند , فهیمه صحتی شفائی , سکینه محمد علیزاده چرندابی , سولماز قنبری همائی

کلمات کلیدی: Gestational Diabetes, Self-Care, Pregnancy Outcomes

نشریه: 55468 , 6 , 20 , 2019

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نویسنده ثبت کننده مقاله سولماز قنبری همائی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده پرستاری و مامائی
کد مقاله 66869
عنوان فارسی مقاله Effectiveness of Self-Care Training on Pregnancy Consequences in Gestational Diabetes: A Randomized Controlled Clinical Trial
عنوان لاتین مقاله Effectiveness of Self-Care Training on Pregnancy Consequences in Gestational Diabetes: A Randomized Controlled Clinical Trial
ناشر 5
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عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح سه – Scopus
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Background: Gestational diabetes is a specific problem during pregnancy and training may be effective in improving pregnancy outcomes. Objectives: The purpose of the present research was to evaluate the effectiveness of self-care training on pregnancy consequences, which was performed in participants with gestational diabetes from January to May 2016. Methods: This research was conducted on 92 primipara and multipara women (28 - 30 weeks of pregnancy) with gestational diabetes referred to the Tohid Hospital Diabetes Clinic in Sanandaj, Iran. Participants were randomly assigned to self-care training (n = 46) and control (n = 46) groups through blocked a randomization method. The training program included self-care training, especially physical activity and nutrition that planned in four sessions for experimental arm through lecture, question, and answer. The control group received only routine prenatal care. After the delivery, outcomes checklist (gestational age at the time of delivery, type of delivery, neonate anthropometrics indices) were completed in both groups. ANCOVA and Multivariate Logistic Regression tests were used to compare the quantitative and qualitative variables between groups with adjusting the variables of mother’s age and body mass index. Results: Twostudy groups had no significant difference in terms of birth weight, height, and head circumference of their newborns (P > 0.05). There were statistically significant differences between groups in term of cesarean delivery (0.07; 0.02 to 0.23; P < 0.001) and macrosomia (0.05; 0.007 to 0.49; P = 0.009). However, there was no significant differences between groups in term of preterm labor (odds ratio (OR): 0.32; 95% confidence interval (CI): 0.10 to 1.02; P = 0.055). Conclusions: Self-care training in women with gestational diabetes can reduce the rate of macrosomia and cesarean delivery.

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نویسنده نفر چندم مقاله
مژگان میرغفورونداول
فهیمه صحتی شفائیسوم
سکینه محمد علیزاده چرندابیچهارم
سولماز قنبری همائیپنجم

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