Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review

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, PsycIN...

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Main Authors: Seulgi Jung, Yoojin Kim, Jeongok Park, Miyoung Choi, Sue Kim
Format: Article
Language:English
Published: Korean Society of Women Health Nursing 2021-06-01
Series:Korean Journal of Women Health Nursing
Subjects:
Online Access:http://www.kjwhn.org/upload/pdf/kjwhn-2021-05-13.pdf
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author Seulgi Jung
Yoojin Kim
Jeongok Park
Miyoung Choi
Sue Kim
author_facet Seulgi Jung
Yoojin Kim
Jeongok Park
Miyoung Choi
Sue Kim
author_sort Seulgi Jung
collection DOAJ
description 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.
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spelling doaj.art-5387ef5159eb4acbbdcdd0f21eef39f42022-12-22T02:49:53ZengKorean Society of Women Health NursingKorean Journal of Women Health Nursing2287-16402093-76952021-06-01272759210.4069/kjwhn.2021.05.13914Psychosocial support interventions for women with gestational diabetes mellitus: a systematic reviewSeulgi Jung0Yoojin Kim1Jeongok Park2Miyoung Choi3Sue Kim4 Graduate School, Yonsei University, Seoul, Korea Graduate School, Yonsei University, Seoul, Korea Mo-Im Kim Nursing Research Institute, Yonsei Evidence Based Nursing Centre of Korea: a JBI Affiliated Group, College of Nursing, Yonsei University, Seoul, Korea National Evidence-based Healthcare Collaborating Agency, Seoul, Korea Mo-Im Kim Nursing Research Institute, Yonsei Evidence Based Nursing Centre of Korea: a JBI Affiliated Group, College of Nursing, Yonsei University, Seoul, KoreaPurpose 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.http://www.kjwhn.org/upload/pdf/kjwhn-2021-05-13.pdfgestational diabetespsychosocial support systemssocial supportsystematic review
spellingShingle Seulgi Jung
Yoojin Kim
Jeongok Park
Miyoung Choi
Sue Kim
Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review
Korean Journal of Women Health Nursing
gestational diabetes
psychosocial support systems
social support
systematic review
title Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review
title_full Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review
title_fullStr Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review
title_full_unstemmed Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review
title_short Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review
title_sort psychosocial support interventions for women with gestational diabetes mellitus a systematic review
topic gestational diabetes
psychosocial support systems
social support
systematic review
url http://www.kjwhn.org/upload/pdf/kjwhn-2021-05-13.pdf
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AT miyoungchoi psychosocialsupportinterventionsforwomenwithgestationaldiabetesmellitusasystematicreview
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