Jung Mi Ko; Jong Kyung Lee

doi:10.4040/jkan.2014.44.6.672

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Original Article
Effects of a Coaching Program on Comprehensive Lifestyle Modification for Women with Gestational Diabetes Mellitus: Jung Mi Ko, Jong Kyung Lee; Journal of Korean Academy of Nursing 2014;44(6):672-681.
DOI: https://doi.org/10.4040/jkan.2014.44.6.672
Published online: December 31, 2014

¹Department of Nursing, Cheongju University, Cheongju, Korea.

²Department of Nursing, Dankook University, Cheonan, Korea.

Address reprint requests to: Lee, Jong Kyung. Department of Nursing, Dankook University, 119 Dandae-ro, Cheonan 330-714, Korea. Tel: +82-41-550-3883, Fax: +82-41-550-3888, kyunglee@dankook.ac.kr

• Received: July 28, 2014 • Revised: August 12, 2014 • Accepted: October 19, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to investigate the effects of using a Coaching Program on Comprehensive Lifestyle Modification with pregnant women who have gestational diabetes.
Methods
The research design for this study was a non-equivalent control group quasi-experimental study. Pregnant women with gestational diabetes were recruited from D women's hospital located in Gyeonggi Province from April to October, 2013. Participants in this study were 34 for the control group and 34 for the experimental group. The experimental group participated in the Coaching Program on Comprehensive Lifestyle Modification. The program consisted of education, small group coaching and telephone coaching over 4weeks. Statistical analysis was performed using the SPSS 21.0 program.
Results
There were significant improvements in self-care behavior, and decreases in depression, fasting blood sugar and HbA1C in the experimental group compared to the control group. However, no significant differences were found between the two groups for knowledge of gestational diabetes mellitus.
Conclusion
The Coaching Program on Comprehensive Lifestyle Modification used in this study was found to be effective in improving self-care behavior and reducing depression, fasting blood sugar and HbA1C, and is recommended for use in clinical practice as an effective nursing intervention for pregnant women with gestational diabetes.
Keywords: Gestational diabetes; Lifestyle; Self-care; Depression; Blood glucose

This manuscript is a revision of the first author's master's thesis from Dankook University.

REFERENCES

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Figure 1

Research design.

Table 1

Homogeneity Test of General Characteristics between the Experimental and Control Groups (N=68)

^*Fisher's exact test; Exp.=Experimental group; Cont.=Control group.

Table 2

Homogeneity Test of Dependent Variables between the Experimental and Control Groups (N=68)

Exp.=Experimental group; Cont.=Control group; FBS=Fasting blood sugar; HbA1C=Glycosylated hemoglobin.

Table 3

Differences in Dependent Variables between Experimental and Control Groups (N=68)

^*F value of ANCOVA with pre-test value as covariate; Exp.=Experimental group; Cont.=Control group; FBS=Fasting blood sugar; HbA1C=Glycosylated hemoglobin.

Figure & Data

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Effects of a Coaching Program on Comprehensive Lifestyle Modification for Women with Gestational Diabetes Mellitus

J Korean Acad Nurs. 2014;44(6):672-681. Published online December 31, 2014

DOI: https://doi.org/10.4040/jkan.2014.44.6.672

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Effects of a Coaching Program on Comprehensive Lifestyle Modification for Women with Gestational Diabetes Mellitus

Figure 1 Research design.

Figure 1

Effects of a Coaching Program on Comprehensive Lifestyle Modification for Women with Gestational Diabetes Mellitus

Table 1

Homogeneity Test of General Characteristics between the Experimental and Control Groups (N=68)

^*Fisher's exact test; Exp.=Experimental group; Cont.=Control group.

Table 2

Homogeneity Test of Dependent Variables between the Experimental and Control Groups (N=68)

Exp.=Experimental group; Cont.=Control group; FBS=Fasting blood sugar; HbA1C=Glycosylated hemoglobin.

Table 3

Differences in Dependent Variables between Experimental and Control Groups (N=68)

^*F value of ANCOVA with pre-test value as covariate; Exp.=Experimental group; Cont.=Control group; FBS=Fasting blood sugar; HbA1C=Glycosylated hemoglobin.

Table 1 Homogeneity Test of General Characteristics between the Experimental and Control Groups (N=68)

^*Fisher's exact test; Exp.=Experimental group; Cont.=Control group.

Table 2 Homogeneity Test of Dependent Variables between the Experimental and Control Groups (N=68)

Exp.=Experimental group; Cont.=Control group; FBS=Fasting blood sugar; HbA1C=Glycosylated hemoglobin.

Table 3 Differences in Dependent Variables between Experimental and Control Groups (N=68)

^*F value of ANCOVA with pre-test value as covariate; Exp.=Experimental group; Cont.=Control group; FBS=Fasting blood sugar; HbA1C=Glycosylated hemoglobin.