Determinants of Diabetes Self-Management in Women with Gestational Diabetes with PRCEED Model Approach

Article Type:
Research/Original Article (دارای رتبه معتبر)
Gestational diabetes mellitus (GDM) affects a significant number of individuals worldwide. Self-management is an effective method to control gestational diabetes and the various factors that affect it. This study was conducted to study determinants of diabetes self-management in women with gestational diabetes using the PRCEED model approach.
Materials and Methods
This cross sectional study was conducted on 329 women with gestational diabetes in Qom, during 2018. The convenience sampling method and the multi-sectional questionnaire were used to evaluate knowledge, attitude, self-efficacy, social support, pregnancy distress and enabling factors among the subjects. Data analysis was performed in SPSS v. 21 and Lisrel v. 8.5, using t. test, ANOVA, Correlation and Path analysis.
A positive relationship was observed between self-management and predisposing factors such as knowledge (r=0.848, P<0.01), attitude (r=0.132, P<0.05) and self-efficacy (r=0.79, P<0.01); furthermore there was a positive and direct association between self-management and the enabling factors (r=0.353, P<0.01). Regarding the reinforcing factors, social support had a positive and direct relationship with self-management (r=0.173, P<0.01), whereas there was a significant inverse relationship between pregnancy distress and self-management (r=-0.587, P<0.01). Self-efficacy was the strongest predictor for self-management (β=0.87), followed by social support (β=0.80).
Study results emphasized the importance of the effects of predisposing, reinforcing and enabling factors on self-management, which could be used as the framework to develop appropriate interventions for women with gestational diabetes.
Iranian Journal of Endocrinology and Metabolism, Volume:20 Issue: 5, 2018
212 to 223  
دانلود و مطالعه متن این مقاله با یکی از روشهای زیر امکان پذیر است:
اشتراک شخصی
با عضویت و پرداخت آنلاین حق اشتراک یک‌ساله به مبلغ 1,390,000ريال می‌توانید 70 عنوان مطلب دانلود کنید!
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی نامحدود همه کاربران به متن مطالب تهیه نمایند!
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.
In order to view content subscription is required

Personal subscription
Subscribe for 70 € euros via PayPal and download 70 articles during a year.
Organization subscription
Please contact us to subscribe your university or library for unlimited access!