Self-management among pregnant women with gestational diabetes mellitus: a descriptive study from Liberia

Decontee  Browne; Dilek Sarpkaya Güder

doi:10.36097/rsan.v1i62.3467

Autores/as

Decontee Browne Near East University https://orcid.org/0009-0008-3148-1333
Dilek Sarpkaya Güder Near East University https://orcid.org/0000-0002-1196-5196

DOI:

https://doi.org/10.36097/rsan.v1i62.3467

Palabras clave:

diabetes gestacional, embarazo, autogestión de la salud

Resumen

El propósito de este estudio fue determinar los niveles de autogestión de embarazadas con diabetes mellitus gestacional (DMG) en un hospital de Liberia. Se utilizó un diseño de investigación descriptivo y transversal. La muestra de este estudio consistió en 208 mujeres que asistieron a la atención prenatal en el hospital del 2 de agosto al 27 de diciembre de 2023. Los datos se recogieron cara a cara mediante un formulario de información sobre el embarazo y la escala de autocontrol de embarazadas con DMG. Se analizaron con el programa SPSS 26 y estadística descriptiva, y también se utilizaron las pruebas de Kruskal-Wallis y U de Mann-Whitney. Los resultados del estudio mostraron que la mayoría de las mujeres embarazadas no tenían estudios básicos o elementales, casi la mitad de ellas estaban desempleadas y tenían unos ingresos anuales medios. La mayoría de las embarazadas no utilizaba insulina. Las embarazadas de la investigación obtuvieron 75,24 ±18,97 puntos (mín. 35; máx. 140) en la Escala de Autocontrol de Embarazadas con DMG. El autocontrol de las embarazadas con DMG en el hospital de Liberia se situó en un nivel bajo. Se recomienda elaborar directrices y políticas para mejorar el autocontrol de la DMG de las embarazadas en el hospital.

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Citas

Bhowmik, B., Afsana, F., Ahmed, T., Siddiquee, T., Pathan, F., Mahtab, H., & Khan, A. K. A. (2018). Evaluation of knowledge regarding gestational diabetes mellitus: a Bangladeshi study. Public Health, 161, 67-74. https://doi.org/10.1016/j.puhe.2018.04.017

Bleah, P., Wilson, R., Macdonald, D., & Camargo-Plazas, P. (2023). ‘The solution is we need to have a center’: a study on diabetes in Liberia. Health Promotion International, 38(5), daad120. https://doi.org/10.1093/heapro/daad120

Center for Disease Control (CDC) (2022). Diabetes Basics. https://www.cdc.gov/diabetes/about/?CDC_AAref_Val=https://www.cdc.gov/diabetes/basics/index.html

Dhyani, V., Mahantashetti, N. S., Ganachari, M. S., Kambar, S., & Ghatnatti, V. (2018). Awareness of gestational diabetes mellitus among pregnant women attending a tertiary health center. Indian Journal of Health Sciences and Biomedical Research KLEU, 11(1), 51-55. https://doi.org/10.4103/kleuhsj.kleuhsj_130_17

Dissassa, H. D., Tufa, D. G., Geleta, L. A., Dabalo, Y. A., & Oyato, B. T. (2023). Knowledge on gestational diabetes mellitus and associated factors among pregnant women attending antenatal care clinics of North Shewa zone public hospitals, Oromia region, Central Ethiopia: a cross-sectional study. BMJ open, 13(9), e073339. https://doi.org/10.1136/bmjopen-2023-073339

Elsaba, H. A. H., El-Maksoud, A. S. A., & Aljohani, M. S. (2020). The relationship between self-efficacy and self-management behavior among diabetic pregnant women. Merit Research Journal of Medicine and Medical Sciences, 6(7), 272-282. https://doi.org/10.5281/zenodo.3755765

Gupta, A., Singh, S. K., Pandey, A., & Manar, M. K. (2024). Self-care Behaviour of Pregnant Women with Gestational Diabetes Mellitus at a Tertiary Care Hospital in Lucknow, India: A Quasi-experimental Study. Journal of Clinical & Diagnostic Research, 18(2). https://doi.org/10.7860/JCDR/2024/65502.19067

He, W., Wang, L., Zhang, Y., Jiang, Y., Chen, X., Wang, Y., ... & Yan, W. (2021). Higher serum bilirubin levels in response to higher carbohydrate intake during early pregnancy and lower gestational diabetes mellitus occurrence in overweight and obese gravidae. Frontiers in Nutrition, 8. https://doi.org/10.3389/fnut.2021.701422

Jakubowski, E. Hinton, L. Khaira, J., Richard, N, Mcmanus, R., J. and Tucker, K.L. (2022). Is self-management a burden? What are the experiences of women selfmanaging chronic conditions during pregnancy? A systematic review Bethany. BMJ open, 12(3), e051962. https://doi.org/10.1136/bmjopen-2021-051962

Karavasileiadou, S., Almegewly, W., Alanazi, A., Alyami, H., & Chatzimichailidou, S. (2022). Self-management and self-efficacy of women with gestational diabetes mellitus: a systematic review. Global Health Action, 15(1), 2087298. https://doi.org/10.1080/16549716.2022.2087298

Kim, Y. S., Kim, H. S., & Kim, Y. L. (2019). Effects of a web-based self-management program on the behavior and blood glucose levels of women with gestational diabetes mellitus. Telemedicine and e-Health, 25(5), 407-414. https://doi.org/10.1089/tmj.2017.0332

Kordi, M., Banaei Heravan, M., Asgharipour, N., Mazloum, S. R., & Akhlaghi, F. (2016). Relationship between self-care behaviors and coping styles in women with gestational diabetes. Journal of Mazandaran University of Medical Sciences, 26(139), 190-202. https://jmums.mazums.ac.ir/article-1-8161-en.html

Kuang, G., Meng, X., Wang, Y., Xu, R., & Zhang, M. (2022). Development and psychometric evaluation of self‐management scale for pregnant woman with gestational diabetes mellitus in China. Nursing Open, 9(3), 1757-1765. https://doi.org/10.1002/nop2.1202

Lambrinou, E., Hansen, T. B., & Beulens, J. W. (2019). Lifestyle factors, self-management and patient empowerment in diabetes care. European journal of preventive cardiology, 26(2_suppl), 55-63. https://doi.org/10.1177/2047487319885455

Mdoe, M. B., Kibusi, S. M., Munyogwa, M. J., & Ernest, A. I. (2021). Prevalence and predictors of gestational diabetes mellitus among pregnant women attending antenatal clinic in Dodoma region, Tanzania: an analytical cross-sectional study. BMJ Nutrition, Prevention & Health, 4(1), 69. https://doi.org/10.1136/bmjnph-2020-000149

Prabhu, K. Kondamuri, S. D., Samal, S., & Sen, M. (2021). Knowledge of gestational diabetes mellitus among pregnant women in a semiurban hospital-A cross-sectional study. Clinical Epidemiology and Global Health, 12, 100854. https://doi.org/10.1016/j.cegh.2021.100854

Staynova, R., Gueorguiev, S., Petkova-Gueorguieva, E., & Petleshkova, P. (2018). A comparative study on diabetes self-management in pregnant women with gestational diabetes and pre-existing diabetes. Biomed Res, 29(18), 3526-3531. http://dx.doi.org/10.4066/biomedicalresearch.29-18-1044

Stebbins, R. C., Emch, M., & Meshnick, S. R. (2018). The effectiveness of community bed net use on malaria parasitemia among children less than 5 years old in Liberia. The American Journal of Tropical Medicine and Hygiene, 98(3), 660. https://doi.org/10.4269/ajtmh.17-0619

Sushko, K., Strachan, P., Butt, M., Nerenberg, K., & Sherifali, D. (2024). Supporting self-management in women with pre-existing diabetes in pregnancy: a mixed-methods sequential comparative case study. BMC Nursing, 23(1), 1. https://doi.org/10.1186/s12912-023-01659-1

Tang, F., Zhong, X., & Liu, S. (2023). Pathway analysis of the impact of health literacy, social support and self-efficacy on self-management behaviors in pregnant women with gestational diabetes mellitus. Frontiers in Public Health, 11, 1188072. https://doi.org/10.3389/fpubh.2023.1188072

Wafa, M. H., Ayoub, A. I., Bukhari, T. A., Bugnah, A. A. A., Alabawy, A. A. H., Alsaiari, A. H., ... & Bukhari, T. (2023). Knowledge and Attitude Regarding Gestational Diabetes Mellitus Among Pregnant Women in Tabuk City, Saudi Arabia: An Exploratory Study. Cureus, 15(11). https://doi.org/10.7759/cureus.48151

World Bank (2024). Pregnant women receiving prenatal care. https://data.worldbank.org/indicator/SH.STA.ANVC.ZS

World Diabetes Federation. (2022). IDF Diabetes Atlas 2021 (10th Ed.). https://fmdiabetes.org/atlas-idf-10o-edicion-2021/

Zandinava, H., Shafaei, F. S., Charandabi, S. A., Homayi, S. G., & Mirghafourvand, M. (2017). Effect of educational package on Self-Care behavior, quality of life, and blood glucose levels in pregnant women with gestational diabetes: A randomized controlled trial. Iranian Red Crescent Medical Journal, 19(4). http://dx.doi.org/10.5812/ircmj.44317