Received Experiences of Health Literacy Promotion for Blood Glucose Level Control and Body Weight Gain in Pregnant Women with Gestational Diabetes Mellitus
Atcharobon Sangprasert
Keywords:
Gestational Diabetes Mellitus, Health literacy, Glucose control, Weight gain, Qualitative researchAbstract
The purpose of this qualitative study was to examine how pregnant women with gestational diabetes mellitus experienced of health literacy promotion in controlling their blood glucose levels and weight gain. The ten hospitals involved in this study were five large general hospitals, one large community hospital, two community hospitals with over 120 beds, and two community hospitals with between 60 and 120 beds. 29 women with gestational diabetes mellitus served as primary informants, whereas nine registered nurses served as secondary informants. The research instruments were: 1) A general form for gathering data; 2) A semi-structured questionnaire for in-depth interviews was developed based on phenomenology and concepts related to health literacy promotion, which was tested with three pregnant women for easier understanding.
The results demonstrated that every primary informant experienced anxiety and worry, which need to protect both the oneself and fetus. The experiences were divided into three categories: 1) First group could not recall all of their knowledge, did not search for more information, and were unable to apply what they did know; 2) Second group could recall suggestions and related numbers but were unable to adjust to the new diet; and 3) Third group could recall numbers, nutrition, and calorie calculations and independently seek out new information.
The study's Recommendation that health care professionals should be sensitive while gathering for information regarding health literacy promotion to assist pregnant women with gestational diabetes mellitus control their blood glucose levels and gain weight faster than usual.
References
Bandyopadhyay, M. (2021). Gestational diabetes mellitus: a qualitative study of lived experiences of South Asian immigrant women and perspectives of their health care providers in Melbourne, Australia. BMC Pregnancy and Childbirth, 21, 500. https://bmcpregnancychildbirth. biomedcentral.com/articles/10.1186/s12884-021-03981-5
Harrison, R. K., Saravanan, V., Davitt, C., Cruz, M., & Palatnik, A. (2022). Antenatal maternal hypoglycemia in women with gestational diabetes mellitus and neonatal outcomes. Journal of Perinatology, 42(8), 1091 - 1096. https://doi.org/10.1038/s41372-022-01350-4
He, J., Chen, X., Wang, Y., Liu, Y., & Bai, J. (2021). The experiences of pregnant women with gestational diabetes mellitus: a systematic review of qualitative evidence. In Casanueva, F.F. (Ed.) Reviews in Endocrine and Metabolic Disorders. (PP. 1 – 11). Hybrid Publishing model.
He, J., Hu, K., Wang, B., & Wang, H. (2023). Effects of women with gestational diabetes mellitus related weight gain on pregnancy outcomes and its experiences in weight management programs: a mixed-methods systematic review. Frontiers in Endocrinology, 14, 1247604. https://doi.org/10.3389/fendo.2023.1247604
Liu, C., Wang, D., Liu, C., Jiang, J., Wang, X., Chen, H., Ju, X., & Zhang, X. (2020). What is the meaning of health literacy? A systematic review and qualitative synthesis. Family medicine and community health, 8(2), e000351. http://doi.org/10.1136/fmch-2020-000351
Martis, R., Brown, J., McAra-Couper J., & Crowther, C. A. (2018). Enablers and barriers for women with gestational diabetes mellitus to achieve optimal glycemic control–a qualitative study using the theoretical domains framework. BMC Pregnancy and Childbirth, 18(1), 1 - 22. https://doi.org/10.1186/s12884-018-1710-8
McKenzie-Sampson, S., Paradis, G., Healy-Profitós, J., St-Pierre, F., & Auger, N. (2018). Gestational diabetes and risk of cardiovascular disease up to 25 years after pregnancy: a retrospective cohort study. Acta Diabetological, 55(4), 315 – 322. https://doi.org/10.1007/s00592-017-1099-2
Muche, A. A., Olayemi, O. O., & Gete, Y. K. (2020). Effects of gestational diabetes mellitus on risk f adverse maternal outcomes: a prospective cohort study in Northwest Ethiopia. BMC Pregnancy and Childbirth, 20(1), 73. https://doi.org/10.1186/s12884-020-2759-8
Neubauer, B. E., Witkop, C. T., & Varpio, L. (2019). How phenomenology can help us learn from the
experiences of others. Perspectives on medical education, 8(2), 90 – 97. https://doi.org/ 10.1007/s40037-019-0509-2
Nutbeam, D. (2000). Health literacy as a public goal: A challenge for contemporary health education and communication strategies into the 21st century. Health promotion international, 15(3), 259 - 267. https://doi.org/10.1093/heapro/15.3.259
Ören, E. D. T., Avdal, E. Ü., Polat, G., Sofulu, F., Düzgün, G., & Pamuk, G. (2024). Experiences of women with gestational diabetes about fear of having diabetes in their babies: A qualitative study. Medicine, 103(15), e37755. https://doi.org/10.1097/MD.0000000000037755
OuYang, H., Chen, B., Abdulrahman, A. M., Li, L., & Wu, N. (2021). Associations between gestational diabetes and anxiety or depression: a systematic review. Journal of diabetes research, 9959779. https://doi.org/10.1155/2021/9959779
Pirdehghan, A., Eslahchi, M., Esna-Ashari, F., & Borzouei, S. (2020). Health literacy and diabetes control in pregnant women. Journal of Family Medicine and Primary Care, 9(2), 1048 - 1052. https://doi.org/10.4103/jfmpc.jfmpc_891_19.
Rawal, S., Olsen, S. F., Grunnet, L. G., Ma, R. C., Hinkle, S. N., Granstrom, C., Wu, J., Yeung, E., Mills, J.L., Zhu, Y., Bao, W., Ley, S.H., Hu, F.B., Damm, P., Vaag, A., Tsai, M.Y., & Zhang, C. (2018). Gestational diabetes mellitus and renal function: a prospective study with 9- to 16-year follow-up after pregnancy. Diabetes Care, 41, 1378 - 1384. https://doi.org/10.2337/ dc17-2629
Rieß, C., Heimann, Y., Schleußner, E., Groten, T., & Weschenfelder, F. (2023). Disease Perception and Mental Health in Pregnancies with Gestational Diabetes—PsychDiab Pilot Study. Journal of Clinical Medicine, 12(10), 3358. https://doi.org/10.3390/jcm12103358
Ryan, G. W., & Bernard, H. R. (2003). Techniques to identify themes. Field methods, 15(1), 85 - 109. https://doi.org/10.1177/1525822X0 2239569
Shi, P., Liu, A., & Yin, X. (2021). Association between gestational weight gain in women with gestational diabetes mellitus and adverse pregnancy outcomes: a retrospective cohort study. BMC pregnancy and childbirth, 21(1), 508. https://doi.org/10.1186/s12884-021-03982-4
Srisawad, K., Panyapinitnukul, C.& Sonnark, N. (2018). Health Promoting Behavior in Pregnancy. Songklanagarind Journal of Nursing, 38(2), 95 - 109. https://he02.tci-thaijo.org/index.php /nur-psu/article/view/132036
Veerasetty, N. K., Venkatachalam, J., Subbaiah, M., Arikrishnan, K., & Soni, B. (2024). Determinants of health literacy and its impact on glycemic control among women with gestational diabetes mellitus in a tertiary care hospital, Puducherry–A cross-sectional analytical study. Journal of Education and Health Promotion, 13(1), 119. https://doi.org/10.4103/jehp.jehp_762_23
Wanchai, A., Srisaket, J., & Tienthavorn, V. (2023). Seven-Color Balls application in non-Communicable diseases: a scoping review. Journal of Nursing and Health Science Research, 15(2), e267915. https://he01.tci-thaijo.org/index.php/unc/article/view/e267915 /e267915
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Princess of Naradhiwas University Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
