The effects of health care programs for gestational diabetes mellitus in Korea: a systematic review

Seo Jin Park, Jina Lee
2020 Yeoseong Geon-gang Ganho Hakoeji  
Purpose: The purpose of this study was to investigate the effects and characteristics of health care programs for pregnant women with gestational diabetes mellitus (GDM) in Korea. Methods: This study was conducted according to the Cochrane Collaboration's systematic literature review handbook and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guideline. We searched eight international and domestic electronic databases for relevant studies. Two reviewers
more » ... ently selected the studies and extracted data. For each study, information on the research method, participants, characteristics of the program, and results were extracted using a previously established coding table. The National Evidence-based Healthcare Collaborating Agency's risk of bias assessment tool for non-randomized studies was used to assess the risk of bias of the included articles. A qualitative review of the selected studies was performed because the interventions differed considerably and the measured outcomes varied. Results: Out of 128 initially identified papers, seven were included in the final analysis. The risk of bias was evaluated as generally low. Health care programs for pregnant women with GDM showed positive effects on blood glucose control. Anxiety and depression were reduced, and self-management and self-care behavior, self-efficacy, and maternal identity improved. Conclusion: Our study provides clinical evidence for the effectiveness of health care programs for pregnant women with GDM, and its results can be used to support the development of health care programs for GDM. More well-designed research is needed on GDM, especially studies that deal with emotional stress and apply a family-oriented approach. and the incidence of GDM relative to the number of babies born in 2017 was estimated to be 15.3% [4, 5] . The risk factors for GDM include heredity (family history) and environmental factors (age, obesity, high-fat diet, etc.) [6] , and the prevalence of GDM is expected to further increase gradually due to the increasing age of childbirth and changes towards westernized eating habits among Korean women. GDM may re-Korean J Women Health Nurs 2020;26(4):274-284
doi:10.4069/kjwhn.2020.10.28 fatcat:5cnnsoqaaje35obsuqr6hzassa