Abstract

Improve adherence to care by providing patient teaching for women diagnosed with GDM in the clinic setting.

Summary: Participants were enrolled once diagnosed with GDM, consent was obtained. The Diabetes Knowledge Survey for Gestational Diabetes was administered. Ongoing education was provided every 1-2 weeks in the clinic setting. Effectiveness of education was assessed using a post-test at 39 weeks' gestation with a goal of achieving a 20-point increase. The participants' perception of their risk of developing DM later in life and their perception to implement change to prevent the onset of DM was assessed by the Risk Perception Survey for Developing Diabetes, administered at 39 weeks' gestation.

Outcomes: TThirty-two patients enrolled into the study, 24 have completed the study, 4 delivered pre-maturely and 3 were lost to follow up, and 1 transferred out. Posttest scores increased on The Diabetes Knowledge Survey for Gestational Diabetes (t = 6.144; p < 0.001). Adherence rate improved; 87.5% monitored at least 14 glucose levels/week for >=80% of appointments,83.3% took medications as prescribed and brought glucometer to each visit and 87.5% brought diet history to appointments. The baseline adherence rate was 66%. Risk perception survey results;79.2 % responded that having had diabetes during pregnancy increases or raises their risk of developing DM,87.5 % responded that exercising regularly decreases or lowers the risk of developing DM and 79.2 % responded that eating a healthy diet decreases or lowers the risk of developing DM. All of participants answered yes to questions: Have you recently made changes in any lifestyle behaviors that you believe will lower your chances of getting diabetes? Are you planning to make changes in any lifestyle behaviors in the near future that you believe will lower your chances of getting diabetes?

Results: There was an improvement in adherence to care and a significant increase in knowledge scores. Having a better understanding of our patient's comprehension of GDM and its impact on maternal and fetal outcomes, and offering education in the clinical setting may improve adherence with GDM treatment.

Joan Pirog

Author Details

Joan Pirog, DNP, WHNP-BC

Sigma Membership

Non-member

Type

Poster

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Gestational Diabetes, Education, Adherence

Conference Name

19th Annual NPWH Premier Women's Healthcare Conference

Conference Year

2016

Conference Location

New Orleans, Louisiana, USA

Conference Host

Nurse Practitioners in Women's Health

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Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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