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

Seulgi Jung, Yoojin Kim, Jeongok Park, Miyoung Choi, Sue Kim

Research output: Contribution to journalReview articlepeer-review

6 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)75-92
Number of pages18
JournalKorean Journal of Women Health Nursing
Volume27
Issue number2
DOIs
Publication statusPublished - 2021 Jun

Bibliographical note

Publisher Copyright:
Copyright © 2021 Korean Society of Women Health Nursing

All Science Journal Classification (ASJC) codes

  • Maternity and Midwifery
  • Advanced and Specialised Nursing
  • Health(social science)
  • Medicine (miscellaneous)

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