Do depression, anxiety, emotional intelligence, and sleep quality affect diabetes management self-efficacy in Korean women with gestational diabetes in pregnancy?: a descriptive correlational study
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Purpose: This study aimed to identify factors associated with diabetes management self-efficacy in pregnant women with gestational diabetes mellitus (GDM) in Korea.Methods: A total of 173 pregnant women with GDM in Korea were recruited by posting announcements at two Korean online communities focusing on pregnancy and GDM. Participants completed a structured online survey from July to September 2018. Thirteen inappropriate responses were excluded and a total of 160 questionnaires were used in the final analysis. Descriptive statistics were calculated and multiple regression with the enter method was done to identify the associations of depressive mood, anxiety, emotional intelligence, and sleep quality with diabetes management self-efficacy. The SPSS version 23.0 (IBM Corp.) was used for the analysis. Results: Respondents reported a moderately depressive mood (mean, 10.36), low to moderate anxiety (mean, 41.65), above-average emotional intelligence (mean, 78.04), moderate sleep quality (mean 42.01), and above-average diabetes management self-efficacy (mean, 52.29). The major factor associated with diabetes management self-efficacy of pregnant women with GDM was emotional intelligence (β=.51, p<.001). Other factors, in descending order of influence, were sleep quality (β=.22, p<.001) and exercise (β=.18, p=.004). Taken together, the aforementioned factors explained 34.6% (F=39.53, p<.001) of the total variance. Conclusion: The results of this study suggest that to improve the diabetes management self-efficacy of pregnant women with GDM, it is necessary to develop an education program that can also enhance emotional intelligence, sleep quality, and exercise.
Abstract
Purpose: This study aimed to identify factors associated with diabetes management self-efficacy in pregnant women with gestational diabetes mellitus (GDM) in Korea.Methods: A total of 173 pregnant women with GDM in Korea were recruited by posting announcements at two Korean online communities focusing on pregnancy and GDM. Participants completed a structured online survey from July to September 2018. Thirteen inappropriate responses were excluded and a total of 160 questionnaires were used in the final analysis. Descriptive statistics were calculated and multiple regression with the enter method was done to identify the associations of depressive mood, anxiety, emotional intelligence, and sleep quality with diabetes management self-efficacy. The SPSS version 23.0 (IBM Corp.) was used for the analysis. Results: Respondents reported a moderately depressive mood (mean, 10.36), low to moderate anxiety (mean, 41.65), above-average emotional intelligence (mean, 78.04), moderate sleep quality (mean 42.01), and above-average diabetes management self-efficacy (mean, 52.29). The major factor associated with diabetes management self-efficacy of pregnant women with GDM was emotional intelligence (β=.51, p<.001). Other factors, in descending order of influence, were sleep quality (β=.22, p<.001) and exercise (β=.18, p=.004). Taken together, the aforementioned factors explained 34.6% (F=39.53, p<.001) of the total variance. Conclusion: The results of this study suggest that to improve the diabetes management self-efficacy of pregnant women with GDM, it is necessary to develop an education program that can also enhance emotional intelligence, sleep quality, and exercise.
참고문헌 (30)
- undefined, "Classification and diagnosis of diabetes: standards of medical care in diabetes-2020", Diabetes Care, 43(Supplement_1), pp.S14~S31 (2020), American Diabetes Association[DOI]
- Nilay S. Shah, "Trends in Gestational Diabetes at First Live Birth by Race and Ethnicity in the US, 2011-2019", JAMA, 326(7), pp.660~ (2021), American Medical Association (AMA)[DOI]
- Dennison RA, "The absolute and relative risk of type 2 diabetes after gestational diabetes : a systematic review and meta-analysis of 129 studies", Diabetes Res Clin Pract, 171, pp.108625~ (2021)[DOI]
- Michael S. Cardwell, "Improving Medical Adherence in Women With Gestational Diabetes Through Self-Efficacy", Clinical Diabetes, 31(3), pp.110~115 (2013), American Diabetes Association[DOI]
- Bădescu SV, "The association between diabetes mellitus and depression", J Med Life, 9(2), pp.120~125 (2016)
- Katarina Hjelm, "Beliefs about health and illness in women managed for gestational diabetes in two organisations", Midwifery, 24(2), pp.168~182 (2008), Elsevier BV[DOI]
- Susan Lee Goldman, "Beliefs about mood moderate the relationship of stress to illness and symptom reporting", Journal of Psychosomatic Research, 41(2), pp.115~128 (1996), Elsevier BV[DOI]
- Leehu Zysberg, "Emotional intelligence and glycemic management among type I diabetes patients", Journal of Health Psychology, 22(2), pp.158~163 (2017), SAGE Publications[DOI]
- 이정임, "걱정과 정서조절이 수면 및 피로에 미치는 영향", Korean Journal of Clinical Psychology, 27(1), pp.1~14 (2008), 한국임상심리학회[DOI]
- Xinge Zhang, "The effect of sleep impairment on gestational diabetes mellitus: a systematic review and meta-analysis of cohort studies", Sleep Medicine, 74, pp.267~277 (2020), Elsevier BV[DOI]
- Eun Yeon Joo, "Sleep and Diabetes", The Journal of Korean Diabetes, 17(3), pp.155~ (2016), Korean Diabetes Association[DOI]
- Cohen J, "Statistical power analysis for the behavioral sciences" (1988), Lawrence Erlbaum Associates
- 이수민, "임신성 당뇨병 임부의 정서명확성과 모성정체성 및 태아애착과의 관계", 여성건강간호학회지, 23(2), pp.99~108 (2017), 한국여성건강간호학회
- Yeom YS, "Diabetic support groups on knowledge of diabetes, self-efficacy, self-care behavior, and glycemic control of type 2 diabetics", master, pp.2010
- "Self-efficacy for diabetes" (2009)[URL]
- J. L. Cox, "Detection of postnatal de-pression. Development of the 10-item Edinburgh Postnatal Depression Scale", British Journal of Psychiatry, 150(6), pp.782~786 (1987), Royal College of Psychiatrists[DOI]
- 한귀원, "한국어판 에딘버러 산후우울 척도 : 신뢰도와 타당도", 생물치료정신의학, 10(2), pp.201~206 (2004), 대한생물치료정신의학회
- Spielberger CD, "Anxiety: current trends in theory and research", pp.3~20 (1972), Academic Press
- Han DW, "Standardization of the Spielberger State-Trait Anxiety Inventory", Proceedings of the Annual Conference of the Korean Psychological Association, pp.505~512 (1993), Korean Psychological Association
- Chi-Sum Wong, "The effects of leader and follower emotional intelligence on performance and attitude", The Leadership Quarterly, 13(3), pp.243~274 (2002), Elsevier BV[DOI]
- Jung HW, "An empirical study on the effect of emotional intelligence on organizational effectiveness", pp.2007
- Rita Snyder-Halpern, "Instrumentation to describe subjective sleep characteristics in healthy subjects", Research in Nursing & Health, 10(3), pp.155~163 (1987), Wiley[DOI]
- Kim KS, "The effect of preparatory audiovisual information with videotape influencing on sleep and anxiety of abdominal surgical patients", J Korean Acad Fundam Nurs, 1(1), pp.19~35 (1994)
- Jeong H, "A predictive model for self-management behavior in pregnant women with gestational diabetes mellitus", pp.2018
- Q. Beka, "History of mood or anxiety disorders and risk of gestational diabetes mellitus in a population-based cohort", Diabetic Medicine, 35(1), pp.147~151 (2018), Wiley[DOI]
- Amy Leung Hui, "Stress and Anxiety in Women With Gestational Diabetes During Dietary Management", The Diabetes Educator, 40(5), pp.668~677 (2014), SAGE Publications[DOI]
- Mary Byrn, "The Relationship Between Gestational Diabetes and Antenatal Depression", Journal of Obstetric, Gynecologic & Neonatal Nursing, 44(2), pp.246~255 (2015), Elsevier BV[DOI]
- 배영, "1인 가구의 인터넷 이용이 사회적 관계와 우울에 미치는 영향: 다인 가구와의 비교를 중심으로", 조사연구, 16(3), pp.141~171 (2015), 한국조사연구학회
- 황인명, "임신성 당뇨병 임부와 정상 임부의 스트레스, 우울, 피로 및 수면의 질에 관한 서술적 조사연구", 한국융합학회논문지, 12(8), pp.369~379 (2021), 한국융합학회[DOI]
- 전영경, "임신성 당뇨병 산모를 위한 산후관리 프로그램이 자기효능감, 자가 관리 및 혈당 조절에 미치는 영향", 여성건강간호학회지, 24(4), pp.367~378 (2018), 한국여성건강간호학회[DOI]