Effect of Self-care Program Guided by PRECEDE–PROCEED Model on Maternal and Fetal Outcomes among Gestational Diabetic Women | ||||
| Tanta Scientific Nursing Journal | ||||
| Volume 34, Issue 3, August 2024 PDF (1.52 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/tsnj.2024.380200 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ola Abdel-wahab Afifi Araby; Hanan Amin Ali; , Zeinab Rabea Abd Elmordy | ||||
| Assistant professors of obstetrics and gynecology nursing, Faculty of Nursing, Benha University, Egypt | ||||
| Abstract | ||||
| Background: Gestational diabetes mellitus is a type of diabetes characterized by impaired glucose tolerance, first discovered during pregnancy and can precipitate several adverse effects for mother and fetus. Aim: To evaluate the effect of self-care program guided by PRECEDE–PROCEED model on maternal and fetal outcomes among gestational diabetic women. Design: A quasi-experimental research design was followed. Setting: The study was carried out at Obstetrics and Gynecology Outpatient Clinic of Benha University Hospital. Sample: A purposive sample included 70 gestational diabetic women divided into 2 groups, and allocation ratio was 1:1 (35 for each group). Tools of data collection: Four tools were used, a structured interviewing questionnaire (General characteristics and previous and current obstetrics history), health-related behaviors questionnaire, PRECEDE– PROCEED model questionnaire (knowledge, attitude, enabling and reinforcing factors) and maternal and fetal outcomes questionnaire. Results: A statistical significant improvement in scores of total knowledge, attitude, health-related behaviors, enabling and reinforcing factors regarding gestational diabetes for the study group compared to the control group was found after implementation of program (p <0.001). Also, a statistical significant high proportion of maternal and fetal complications in the control group than in the study group was found. Conclusion: The implementation of self-care program guided by PRECEDE– PROCEED model had a positive impact on improving gestational diabetic women's knowledge, attitude, health-related behaviors, enabling and reinforcing factors regarding gestational diabetes and improved maternal and fetal outcomes. Recommendations: An educational intervention guided by PRECEDE–PROCEED should be conducted at postpartum period to help gestational diabetic women to adopt healthy lifestyles during breastfeeding | ||||
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