Factors Predicting Blood Glucose Control Behavior among Pregnant Women with Gestational Diabetes Mellitus
Keywords:
gestational diabetes mellitus, health literacy, self-efficacy, blood sugar control behaviorsAbstract
Abstract
Good blood glucose control behaviors help pregnant women maintain a normal blood glucose level. This predictive correlational research aimed to study blood glucose level in pregnant women with gestational diabetes mellitus, and to examine factors predicting blood glucose control behaviors. The sample was 110 pregnant women with gestational diabetes mellitus attending antenatal clinics at a tertiary care hospital in Chonburi Province. The sample was selected by simple random sampling. Data were collected by demographic and obstetrics questionnaires, the Health Literacy scale, the Self-Efficacy Scale, and the Blood Control Behaviors Checklist. Data were analyzed by descriptive statistics and stepwise multiple regression.
Results showed that all pregnant women with gestational diabetes mellitus had normal levels of blood sugar two hours postprandial. The variables significantly predicting blood glucose control behaviors were self-efficacy (β = .483, t = 5.933, p < .001) and health literacy (β = .213, t = 2.619, p = .01). These two variables explained 30.1% of the variance in blood glucose control behaviors (F(1,107) = 6.858, R2 = .301, p = .01). The results suggest that nurses could improve blood glucose control behaviors of pregnant women with gestational diabetes mellitus by promoting self-efficacy and health literacy.
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