Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of a Coaching Program on Comprehensive Lifestyle Modification for Women with Gestational Diabetes Mellitus

임신성 당뇨 임부의 혈당조절을 위한 포괄적인 생활양식조절 코칭 프로그램의 효과

  • Received : 2014.07.28
  • Accepted : 2014.10.19
  • Published : 2014.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the effects of using a Coaching Program on Comprehensive Lifestyle Modification with pregnant women who have gestational diabetes. Methods: The research design for this study was a non-equivalent control group quasi-experimental study. Pregnant women with gestational diabetes were recruited from D women's hospital located in Gyeonggi Province from April to October, 2013. Participants in this study were 34 for the control group and 34 for the experimental group. The experimental group participated in the Coaching Program on Comprehensive Lifestyle Modification. The program consisted of education, small group coaching and telephone coaching over 4weeks. Statistical analysis was performed using the SPSS 21.0 program. Results: There were significant improvements in self-care behavior, and decreases in depression, fasting blood sugar and $HbA_1C$ in the experimental group compared to the control group. However, no significant differences were found between the two groups for knowledge of gestational diabetes mellitus. Conclusion: The Coaching Program on Comprehensive Lifestyle Modification used in this study was found to be effective in improving self-care behavior and reducing depression, fasting blood sugar and $HbA_1C$, and is recommended for use in clinical practice as an effective nursing intervention for pregnant women with gestational diabetes.

Keywords

References

  1. The Korean Diabetes Association. Diabetes fact sheet in Korea 2013 [Internet]. Seoul: The Korean Diabetes Association; 2013 [cited 2013 October 12]. Available from: www.diabetes.or.kr/temp/diabetes_factsheet_2013111.pdf.
  2. Reece EA. The fetal and maternal consequences of gestational diabetes mellitus. The Journal of Maternal-Fetal & Neonatal Medicine. 2010;23(3):199-203. http://dx.doi.org/10.3109/14767050903550659
  3. Jang HC. Diagnosis of gestational diabetes mellitus. The Journal of Korean Diabetes. 2006;7(4):296-301.
  4. Park JE. Effective education strategies for women with gestational diabetes mellitus. The Journal of Korean Diabetes. 2012;13(3):148-151. http://dx.doi.org/10.4093/jkd.2012.13.3.148
  5. Choi ES, Oh JA, Hur MH, Lee IS, Choi SY. The knowledge and learning needs about gestational diabetes in pregnant women. Journal of Korean Academy of Women's Health Nursing. 2000;6(1):96-108.
  6. Katon JG, Russo J, Gavin AR, Melville JL, Katon WJ. Diabetes and depression in pregnancy: Is there an association? Journal of Women's Health. 2011;20(7):983-989. http://dx.doi.org/10.1089/jwh.2010.2662
  7. McKellar JD, Humphreys K, Piette JD. Depression increases diabetes symptoms by complicating patients' self-care adherence. The Diabetes Educator. 2004;30(3):485-492. https://doi.org/10.1177/014572170403000320
  8. Whitmore J. Coaching for performance: GROWing human potential and purpose: The principles and practice of coaching and leadership. 4th ed. London, UK: Nicholas Brealey Publishing; 2009.
  9. Hayes E, Kalmakis KA. From the sidelines: Coaching as a nurse practitioner strategy for improving health outcomes. Journal of the American Academy of Nurse Practitioners. 2007;19(11):555-562. http://dx.doi.org/10.1111/j.1745-7599.2007.00264.x
  10. Whittemore R, Melkus GD, Sullivan A, Grey M. A nurse-coaching intervention for women with type 2 diabetes. The Diabetes Educator. 2004;30(5):795-804. https://doi.org/10.1177/014572170403000515
  11. Navicharern R, Aungsuroch Y, Thanasilp S. Effects of multifaceted nurse-coaching intervention on diabetic complications and satisfaction of persons with type 2 diabetes. Journal of the Medical Association of Thailand. 2009;92(8):1102-1112.
  12. Olsen JM, Nesbitt BJ. Health coaching to improve healthy lifestyle behaviors: An integrative review. American Journal of Health Promotion. 2010;25(1):e1-e12. http://dx.doi.org/10.4278/ajhp.090313-LIT-101
  13. Jeon HO, Kim O. The effects of an internet based coaching program for obesity management in hypertensive patients. Korean Journal of Adult Nursing. 2011;23(2):146-159.
  14. Hwang JY. The effects of group coaching program on self-esteem, subjective-wellbeing, depression for middle-aged housewives [master's thesis]. Seoul: Kwangwoon University; 2012.
  15. Armstrong C, Wolever RQ, Manning L, Elam R, 3rd, Moore M, Frates EP, et al. Group health coaching: Strengths, challenges, and next steps. Global Advances in Health and Medicine. 2013;2(3):95-102. http://dx.doi.org/10.7453/gahmj.2013.019
  16. Kim S, Kim HS, Cheong HY. Effects of a coaching-based childbirth program on anxiety and childbirth self-efficacy among primigravida women. Korean Journal of Women Health Nursing. 2011;17(4):369-377. http://dx.doi.org/10.4069/kjwhn.2011.17.4.369
  17. Gu MO. The effect of a self regulation education program for the promotion and maintenance of self care behavior in the chronically ill patients: For diabetic patients. The Journal of Nurses Academic Society. 1996;26(2):413-427.
  18. Bae JI. Construction of a postpartum depression model [dissertation]. Seoul: Ewha Womans University; 1996.
  19. Korea Association of Diabetes Nurse Educator. Gestational diabetes [Internet]. Seoul: Korea Association of Diabetes Nurse Educator; 2013 [cited 2013 September 8]. Available from: http://kadne.cafe24.com/bbs/board.php?bo_table=sub3_13&wr_id=8.
  20. Park JY. A study for developing an effective group coaching process. Journal of Korean Coaching Research. 2010;3(1):41-64.
  21. Lee YR, Kang MA, Kim PG. The effects of an admission-education program on knowledge, self-efficacy, self-care and glucose control in type 2 diabetes patients. Journal of Korean Academic Society of Nursing Education. 2008;14(1):12-19. https://doi.org/10.5977/JKASNE.2008.14.1.012
  22. Paek KS. The effect of a diabetic education program on self-care behavior and glucose metabolism in type 2 diabetic patients. Journal of Korean Community Nursing. 2001;12(2):390-396.
  23. Wolever RQ, Dreusicke M, Fikkan J, Hawkins TV, Yeung S, Wakefield J, et al. Integrative health coaching for patients with type 2 diabetes: A randomized clinical trial. The Diabetes Educator. 2010;36(4):629-639. http://dx.doi.org/10.1177/0145721710371523
  24. Polonsky WH, Earles J, Smith S, Pease DJ, Macmillan M, Christensen R, et al. Integrating medical management with diabetes self-management training: A randomized control trial of the diabetes outpatient intensive treatment program. Diabetes Care. 2003;26(11):3048-3053. https://doi.org/10.2337/diacare.26.11.3048
  25. Radder JK, van Roosmalen J. HbA1c in healthy, pregnant women. The Netherlands Journal of Medicine. 2005;63(7):256-259.
  26. Yoo JS, Lee SJ, Lee HC, Kim MJ. The effect of a comprehensive lifestyle modification program on glycemic control and body composition in patients with type 2 diabetes. Asian Nursing Research. 2007;1(2):106-115. http://dx.doi.org/10.1016/s1976-1317(08)60013-4
  27. Kim H, Kim S. Effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus. Journal of Korean Academy of Nursing. 2013;43(1):69-80. http://dx.doi.org/10.4040/jkan.2013.43.1.69
  28. Homko CJ, Santamore WP, Whiteman V, Bower M, Berger P, Geifman-Holtzman O, et al. Use of an internet-based telemedicine system to manage underserved women with gestational diabetes mellitus. Diabetes Technology & Therapeutics. 2007;9(3):297-306. http://dx.doi.org/10.1089/dia.2006.0034
  29. Thom DH, Ghorob A, Hessler D, De Vore D, Chen E, Bodenheimer TA. Impact of peer health coaching on glycemic control in low-income patients with diabetes: A randomized controlled trial. Annals of Family Medicine. 2013;11(2):137-144. http://dx.doi.org/10.1370/afm.1443
  30. Katon J, Williams MA, Reiber G, Miller E. Antepartum A1C, maternal diabetes outcomes, and selected offspring outcomes: An epidemiological review. Paediatric and Perinatal Epidemiology. 2011;25(3):265-276. http://dx.doi.org/10.1111/j.1365-3016.2011.01195.x

Cited by

  1. 간호학 연구에서 효과크기의 사용에 대한 고찰 vol.45, pp.5, 2015, https://doi.org/10.4040/jkan.2015.45.5.641
  2. 임신성 당뇨 임부의 우울 관련 요인 vol.33, pp.3, 2016, https://doi.org/10.14367/kjhep.2016.33.3.25
  3. IT-기반의 임신성 당뇨병 영양관리 프로그램 개발을 위한 요구도 조사 vol.22, pp.3, 2014, https://doi.org/10.5720/kjcn.2017.22.3.207
  4. Effects of a Web-Based Self-Management Program on the Behavior and Blood Glucose Levels of Women with Gestational Diabetes Mellitus vol.2018, pp.None, 2014, https://doi.org/10.1089/tmj.2017.0332
  5. 임신성 당뇨병 산모를 위한 산후관리 프로그램이 자기효능감, 자가 관리 및 혈당 조절에 미치는 영향 vol.24, pp.4, 2014, https://doi.org/10.4069/kjwhn.2018.24.4.367
  6. The effectiveness of group hope therapy on the mental health of type II diabetic patients referred to the diabetes clinic in South East Iran vol.32, pp.4, 2014, https://doi.org/10.1515/ijamh-2017-0199
  7. The effectiveness of group hope therapy on the mental health of type II diabetic patients referred to the diabetes clinic in South East Iran vol.32, pp.4, 2014, https://doi.org/10.1515/ijamh-2017-0199
  8. The effects of health care programs for gestational diabetes mellitus in South Korea: a systematic review vol.26, pp.4, 2014, https://doi.org/10.4069/kjwhn.2020.10.28
  9. The effect of health-promoting lifestyle education program provided to women with gestational diabetes mellitus on maternal and neonatal health: a randomized controlled trial vol.26, pp.6, 2014, https://doi.org/10.1080/13548506.2020.1856390
  10. 임신성 당뇨 산모의 모유수유 이행 경험 vol.27, pp.3, 2014, https://doi.org/10.5977/jkasne.2021.27.3.274