Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review

  • Jung, Seulgi (Graduate School, Yonsei University) ;
  • Kim, Yoojin (Graduate School, Yonsei University) ;
  • Park, Jeongok (Mo-Im Kim Nursing Research Institute, Yonsei Evidence Based Nursing Centre of Korea: a JBI Affiliated Group, College of Nursing, Yonsei University) ;
  • Choi, Miyoung (National Evidence-based Healthcare Collaborating Agency) ;
  • Kim, Sue (Mo-Im Kim Nursing Research Institute, Yonsei Evidence Based Nursing Centre of Korea: a JBI Affiliated Group, College of Nursing, Yonsei University)
  • Received : 2021.02.19
  • Accepted : 2021.05.13
  • Published : 2021.06.30
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Abstract

Purpose: This study aimed to analyze the content and effectiveness of psychosocial support interventions for women with gestational diabetes mellitus (GDM). Methods: The following databases were searched with no limitation of the time period: Ovid-MEDLINE, Cochrane Library, Ovid-Embase, CINAHL, PsycINFO, NDSL, KoreaMed, RISS, and KISS. Two investigators independently reviewed and selected articles according to the predefined inclusion/exclusion criteria. ROB 2.0 and the RoBANS 2.0 checklist were used to evaluate study quality. Results: Based on the 14 selected studies, psychosocial support interventions were provided for the purpose of (1) informational support (including GDM and diabetes mellitus information; how to manage diet, exercise, stress, blood glucose, and weight; postpartum management; and prevention of type 2 diabetes mellitus); (2) self-management motivation (setting goals for diet and exercise management, glucose monitoring, and enhancing positive health behaviors); (3) relaxation (practicing breathing and/or meditation); and (4) emotional support (sharing opinions and support). Psychosocial supportive interventions to women with GDM lead to behavioral change, mostly in the form of self-care behavior; they also reduce depression, anxiety and stress, and have an impact on improving self-efficacy. These interventions contribute to lowering physiological parameters such as fasting plasma glucose, glycated hemoglobin, and 2-hour postprandial glucose levels. Conclusion: Psychosocial supportive interventions can indeed positively affect self-care behaviors, lifestyle changes, and physiological parameters in women with GDM. Nurses can play a pivotal role in integrative management and can streamline the care for women with GDM during pregnancy and following birth, especially through psychosocial support interventions.

Keywords

Acknowledgement

This study was supported by the 2020 Seoul Nurses Association Fund.

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