effects of self-care education on perceived stress in women with gestational diabetes under insulin treatment

Authors

طلعت طلعت خدیوزاده

talat khadivzadeh evidence based care research centre, associate professor of midwifery, school of nursing and midwifery, mashhad university of medical sciences, mashhad, iranمرکز تحقیقات مراقبت مبتنی بر شواهد، استادیار گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران مریم مریم حسین زاده

maryam hoseinzadeh ms in midwifery, school of nursing and midwifery, mashhad university of medical sciences, mashhad, iranدانش آموخته کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران صدیقه صدیقه اظهری

sedigheh azhari evidence based care research centre, instructor of midwifery, school of nursing and midwifery, mashhad university of medical sciences, mashhad, iranمرکز تحقیقات مراقبت مبتنی بر شواهد، مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران حبیب الله حبیب الله اسماعیلی

habibollah esmaily associate professor of biostatistics, school of health, mashhad university of medical sciences, mashhad, iranدانشیار گروه آمار حیاتی، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران فریده فریده اخلاقی

abstract

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.

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Journal title:
evidence based care

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