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임신성 당뇨병을 가진 임산부를 위한 간호중재 프로그램의 효과: 무작위 대조군 실험연구의 체계적 문헌고찰

Effects of nursing intervention programs for women with gestational diabetes: a systematic review of randomized controlled trials

정재원|김주희
한국여성건강간호학회 (Korean Society of Women Health Nursing)|2021.03|Women's Health Nursing|제27권 제1호|pp. 14-26|DOI https://doi.org/10.4069/kjwhn.2021.03.02

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키워드

체계적 문헌고찰ProgramNursingSystematic review간호 중재Randomized controlled trialGestational diabetes임신성 당뇨병무작위 실험 연구
주제분류간호학

초록

Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

Abstract

Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

참고문헌 (47)

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관련 논문AI추천

The effects of health care programs for gestational diabetes mellitus in South Korea: a systematic review박서진, 이진아한국여성건강간호학회 · Women's Health Nursing2020 · 제26권 제4호Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review김수, 김유진, 박정옥, 최미영, Jung Seulgi한국여성건강간호학회 · Women's Health Nursing2021 · 제27권 제2호임신성 당뇨병 산모를 위한 산후관리 프로그램이 자기효능감, 자가 관리 및 혈당 조절에 미치는 영향김효진, 노기옥, 양미연, 윤금영, 전영경, 정다영한국여성건강간호학회 · Women's Health Nursing2018 · 제24권 제4호임신성당뇨병 임부에 대한 사례관리 프로그램이 자기효능감, 우울 및 불안에 미치는 효과박혜자, 백은숙한국여성건강간호학회 · Women's Health Nursing2013 · 제19권 제2호임신성 당뇨병 임부를 위한 통합 자가관리 프로그램 개발과 운영평가김희숙한국모자보건학회 · 한국모자보건학회지2013 · 제17권 제1호Effect of exercise interventions on glycemic control in women with gestational diabetes mellitus: a systematic review and meta-analysis허명행, Her Jihoo한국여성건강간호학회 · Women's Health Nursing2025 · 제31권 제3호

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