scholarly journals Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

2016 ◽  
Vol 62 (3) ◽  
pp. 212-217 ◽  
Author(s):  
Ana Maria da Silva Sousa ◽  
Daine Fiuza ◽  
Fernanda Cristina Ferreira Mikami ◽  
Karen Cristine Abrão ◽  
Rossana Pulcineli Vieira Francisco ◽  
...  

SUMMARY Objective: To evaluate the retention of information after participation in multidisciplinary group in patients with gestational diabetes mellitus (GDM) through a phone contact. Method: 122 pregnant women diagnosed with gestational diabetes were included. After diagnosis of gestational diabetes, the patients were referred to the multidisciplinary group where they received medical, nutrition and nursing guidelines related to the disease. After three days these patients received one telephone call from a nurse, who made the same questions regarding the information received. In the statistical analysis, results were presented as absolute and relative frequencies. Results: Most patients 119/122 patients (97.5%) were managing to do self glucose monitoring. Twenty-one patients (17.2%) reported having difficulty performing the blood glucose, especially finger pricking. When questioning whether the woman was following the proposed diet, 24/122 (19.7%) patients said they did not; the meal frequency was not reached by 23/122 (18.9%) of the women, and forty-seven (38.5%) of the women reported having ingested sugar in the days following the guidance in multidisciplinary group. Conclusion: Regarding the proposed treatment, there was good adherence of patients, especially in relation to blood glucose monitoring. As for nutritional control, we observed greater difficulty in following the guidelines demonstrating the need for long-term monitoring, as well as further clarification to the patients about the importance of nutrition in diabetes management.

1995 ◽  
Vol 333 (19) ◽  
pp. 1237-1241 ◽  
Author(s):  
Margarita de Veciana ◽  
Carol A. Major ◽  
Mark A. Morgan ◽  
Tamerou Asrat ◽  
Julianne S. Toohey ◽  
...  

1996 ◽  
Vol 51 (4) ◽  
pp. 207-208 ◽  
Author(s):  
Margarita de Veciana ◽  
Carol A. Major ◽  
Mark A. Morgan ◽  
Tamerou Asrat ◽  
Julianne S. Toohey ◽  
...  

2017 ◽  
Vol 130 (1) ◽  
pp. 163-170 ◽  
Author(s):  
Hector Mendez-Figueroa ◽  
Meike Schuster ◽  
Lindsay Maggio ◽  
Claudia Pedroza ◽  
Suneet P. Chauhan ◽  
...  

2016 ◽  
Vol 126 (3) ◽  
pp. 107-111 ◽  
Author(s):  
Grażyna J. Iwanowicz-Palus ◽  
Marta Zarajczyk ◽  
Aleksandra Jakubowska ◽  
Agnieszka Bień ◽  
Ewa Rzońca

Abstract Introduction. Gestational diabetes mellitus (GDM) is the most common metabolic disorder happening to pregnant women. Some. 3-5% of all pregnant women in Poland are diagnosed with the condition. Glucose tolerance disorders or gestational diabetes recur in about 30% of women during their second (or next) pregnancy. Controlling diabetes involves many new responsibilities and sacrifices that may be difficult to bear for a pregnant woman. Aim. The aim of the present study was to examine the most common problems among pregnant women with gestational diabetes Material and methods. The study was conducted between 2015 and 2016. The authors used a diagnostic survey on 120 pregnant women with diabetes who were patients in gestational pathology and conservative gynecological treatment departments and diabetic outpatient clinics in Lublin. The χ2 test of independence was used to examine correlations between socio-demographic factors and problems experienced by pregnant women with gestational diabetes. Results. Problems with keeping a blood glucose monitoring diary were reported by women from cities different than province capitals (75%). Childless women reported problems with pricking their finger multiple times a day (60%). Insulin injections were perceived as a GDM-related problem mostly by women aged 31-35 (41.2%), women in their second pregnancy (61.8%) and women with more than one child (47.1%). Frequent visits to the doctor were perceived as a problem mostly by women aged less than 26 (42.3%), women living in rural areas (57.7%), women with higher education (84.6%), women in their first pregnancy (61.5%) and women without children (73.1%). The two last groups additionally indicated psychological burden (84.2% and 78.9%, respectively). Anxiety about the occurrence of type 2 diabetes was mainly expressed by women aged 26-30 (35.3%) and those in their second pregnancy (52.9%), whilst working women expressed concern for their own lives (78.6%). Conclusions. There is a correlation between selected problems experienced by pregnant women with GDM and socio-demographic variables such as: age, place of residence, education, professional activity and number of pregnancies and children. The results obtained suggest that there is a need for educating women about the most frequent problems that accompany pregnancy with GDM.


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