2.50
Hdl Handle:
http://hdl.handle.net/10755/621147
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Promoting Adherence to Care for Women Diagnosed with Gestational Diabetes Mellitus
Author(s):
Pirog, Joan
Lead Author STTI Affiliation:
Non-member
Author Details:
Joan Pirog, DNP, WHNP-BC
Abstract:

Improve adherence to care by providing patient teaching for women diagnosed with GDM in the clinic setting.

Summary: Participants were enrolled once diagnosed with GDM, consent was obtained. The Diabetes Knowledge Survey for Gestational Diabetes was administered. Ongoing education was provided every 1-2 weeks in the clinic setting. Effectiveness of education was assessed using a post-test at 39 weeks' gestation with a goal of achieving a 20-point increase. The participants' perception of their risk of developing DM later in life and their perception to implement change to prevent the onset of DM was assessed by the Risk Perception Survey for Developing Diabetes, administered at 39 weeks' gestation.

Outcomes: TThirty-two patients enrolled into the study, 24 have completed the study, 4 delivered pre-maturely and 3 were lost to follow up, and 1 transferred out. Posttest scores increased on The Diabetes Knowledge Survey for Gestational Diabetes (t = 6.144; p < 0.001). Adherence rate improved; 87.5% monitored at least 14 glucose levels/week for >=80% of appointments,83.3% took medications as prescribed and brought glucometer to each visit and 87.5% brought diet history to appointments. The baseline adherence rate was 66%. Risk perception survey results;79.2 % responded that having had diabetes during pregnancy increases or raises their risk of developing DM,87.5 % responded that exercising regularly decreases or lowers the risk of developing DM and 79.2 % responded that eating a healthy diet decreases or lowers the risk of developing DM. All of participants answered yes to questions: Have you recently made changes in any lifestyle behaviors that you believe will lower your chances of getting diabetes? Are you planning to make changes in any lifestyle behaviors in the near future that you believe will lower your chances of getting diabetes?

Results: There was an improvement in adherence to care and a significant increase in knowledge scores. Having a better understanding of our patient's comprehension of GDM and its impact on maternal and fetal outcomes, and offering education in the clinical setting may improve adherence with GDM treatment.

Keywords:
Gestational Diabetes; Education; Adherence
Repository Posting Date:
7-Nov-2016
Date of Publication:
7-Nov-2016
Conference Date:
2016
Conference Name:
19th Annual NPWH Premier Women's Healthcare Conference
Conference Host:
Nurse Practitioners in Women's Health
Conference Location:
New Orleans, Louisiana, USA

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titlePromoting Adherence to Care for Women Diagnosed with Gestational Diabetes Mellitusen
dc.contributor.authorPirog, Joanen
dc.contributor.departmentNon-memberen
dc.author.detailsJoan Pirog, DNP, WHNP-BCen
dc.identifier.urihttp://hdl.handle.net/10755/621147-
dc.description.abstract<p>Improve adherence to care by providing patient teaching for women diagnosed with GDM in the clinic setting. </p> <p>Summary: Participants were enrolled once diagnosed with GDM, consent was obtained. The Diabetes Knowledge Survey for Gestational Diabetes was administered. Ongoing education was provided every 1-2 weeks in the clinic setting. Effectiveness of education was assessed using a post-test at 39 weeks' gestation with a goal of achieving a 20-point increase. The participants' perception of their risk of developing DM later in life and their perception to implement change to prevent the onset of DM was assessed by the Risk Perception Survey for Developing Diabetes, administered at 39 weeks' gestation.</p> <p>Outcomes: TThirty-two patients enrolled into the study, 24 have completed the study, 4 delivered pre-maturely and 3 were lost to follow up, and 1 transferred out. Posttest scores increased on The Diabetes Knowledge Survey for Gestational Diabetes (t = 6.144; p < 0.001). Adherence rate improved; 87.5% monitored at least 14 glucose levels/week for >=80% of appointments,83.3% took medications as prescribed and brought glucometer to each visit and 87.5% brought diet history to appointments. The baseline adherence rate was 66%. Risk perception survey results;79.2 % responded that having had diabetes during pregnancy increases or raises their risk of developing DM,87.5 % responded that exercising regularly decreases or lowers the risk of developing DM and 79.2 % responded that eating a healthy diet decreases or lowers the risk of developing DM. All of participants answered yes to questions: Have you recently made changes in any lifestyle behaviors that you believe will lower your chances of getting diabetes? Are you planning to make changes in any lifestyle behaviors in the near future that you believe will lower your chances of getting diabetes?</p> <p>Results: There was an improvement in adherence to care and a significant increase in knowledge scores. Having a better understanding of our patient's comprehension of GDM and its impact on maternal and fetal outcomes, and offering education in the clinical setting may improve adherence with GDM treatment.</p>en
dc.subjectGestational Diabetesen
dc.subjectEducationen
dc.subjectAdherenceen
dc.date.available2016-11-07T20:41:52Z-
dc.date.issued2016-11-07-
dc.date.accessioned2016-11-07T20:41:52Z-
dc.conference.date2016en
dc.conference.name19th Annual NPWH Premier Women's Healthcare Conferenceen
dc.conference.hostNurse Practitioners in Women's Healthen
dc.conference.locationNew Orleans, Louisiana, USAen
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