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This predictive research aimed to examine factors influencing stress among women with gestational diabetes mellitus. Participants were 176 pregnant women with gestational diabetes who visited Queen Savang Vadhana Memorial Hospital. They were selected by simple random sampling. Data were collected from May to September 2018. Research instruments consisted of personal data record form, perceived risk of gestational diabetes mellitus questionnaire, self–efficacy questionnaire, social support questionnaire and perceived stress scale. Cronbach’s alpha coefficients of the latter four questionnaires were .89, .88, .92, and .72, respectively. Data were analyzed by descriptive statistics and backward multiple regression.
Results revealed that most participants were multigravida (73.30 %), were in the third trimester of pregnancy (77.84 %), had pre-gestational body mass as overweight and obesity (63.64%), and were diagnosed as GDM A1 (74.43 %). Their mean score of stress was at a moderate level (mean = 17.70, SD = 3.79). Self–efficacy and social support significantly negatively influenced their stress (β = -.35, p < .001; β = -.15, p = .04). Both variables significantly predicted 19.1 % of the variance in stress (R2 = .191, F(2, 173) = 20.46, p < .001).
Research finding indicated that nurses and health care providers would promote women to perceive their self-efficacy and support their families to take care of women. Consequently, women with gestational diabetes mellitus might effectively cope with their illness, and then reduce their stress.
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