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研究生:張瓊文
研究生(外文):CHANG, CHIUNG-WEN
論文名稱:妊娠糖尿病婦女知識、自我效能對於孕期血糖、體重控制及生產結果之縱貫性研究
論文名稱(外文):A longitudinal study of knowledge, self-efficacy, glycemic control, weight gain and outcomes of delivery in pregnant woman with gestational diabetes mellitus
指導教授:盧玉嬴盧玉嬴引用關係
指導教授(外文):LU,YU-YING
口試委員:周輝政劉介宇
口試委員(外文):JOU,HEI-JENLIU,CHIEH-YU
口試日期:2017-06-13
學位類別:碩士
校院名稱:國立臺北護理健康大學
系所名稱:護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2017
畢業學年度:105
語文別:中文
論文頁數:90
中文關鍵詞:妊娠糖尿病疾病知識自我效能血糖孕期體重生產結果
外文關鍵詞:gestational diabetesdisease awarenessself-efficacyblood sugar levelmaternal weightbirth outcomes
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背景:隨者國人飲食習慣改變,肥胖增加,妊娠糖尿病的發生率也日益增長,目前台灣地區的發生率約占懷孕人數的5-10%;有效的控制血糖以降低妊娠糖尿病對母體及胎兒造成不良的影響是很重要的。過去研究發現疾病認知、自我效能與疾病結果及血糖控制相關,本研究目的在於探討妊娠糖尿病婦女疾病知識、飲食與運動自我效能情形;以其對孕期血糖、體重控制及母嬰生產結果之影響。
方法:本研究採取縱貫性研究設計,以60位妊娠糖尿病婦女為研究對象,在懷孕24-28週、29-32週及生產後進行資料收集,採用結構式問卷「妊娠糖尿病知識問卷」、「運動、飲食自我效能問卷」,進行面對面調查,並由醫院的病歷記錄取得婦女孕期體重、血糖、及生產結果。資料採用SPSS 20.0,進行描述性及推論性統計分析。
結果:(一)研究對象於「疾病飲食觀念」知識構面具有較高認知,「疾病管理」構面認知較為不足。(二)飲食自我效能得分高於運動自我效能,平均得分較低的為「當我感覺沒時間的時候,我相信自己能夠執行規律的運動及飲食」。(三)疾病知識、運動及飲食自我效能得分隨著孕期週數增加有顯著改變。(四)初產婦產程總時間比經產婦產程總時間長;孕前體重及BMI越高者,其生產總失血量越多;教育程度越低者,其孕期總增加體重越多。(五)疾病知識、運動自我效能與產後糖化血色素值具顯著相關;疾病知識、飲食自我效能與孕期總增加體重具顯著相關。(六)自然生產個案中運動自我效能分數越高者則會陰撕裂傷程度越高。
結論與建議:建立高危險妊娠整合性照護模式持續提供妊娠糖尿病孕產婦諮詢的管道督促其疾病的管理,並強化疾病知識及孕期體重管理的重要性。臨床護理人員必需強化對於疾病生理及心理的照護訓練提供完善的周產期服務,並落實執行孕期及產後自我血糖追蹤制度以減少疾病的不良影響。

Background: Changes in dietary habits have significantly increased the risk of obesity in Taiwan and led to a persistent rise in the incidence of gestational diabetes mellitus (GDM). At present, GDM affects some 5~10 percent of pregnancies in Taiwan. Effectively controlling blood sugar level in expectant mothers is important to reducing the negative impact of GDM on both the mother and her fetus. Prior studies have associated the control of blood sugar levels with disease awareness, self-efficacy, and disease outcomes.
Purpose: To explore the disease awareness, dietary self-efficacy, and exercise self-efficacy of women with GDM and to assess the effects of these variables on maternal blood-sugar level and weight control during pregnancy and on mother and infant birth outcomes.
Methods: This longitudinal study enrolled 60 pregnant women with diagnoses of GDM as participants. Data were collected at three time periods: during the 24th-28th week of pregnancy, during the 29th-32nd week of pregnancy, and after infant delivery. Data collection was conducted face-to-face with participants using structured questionnaires, including the Diabetes Knowledge Scale for Pregnant Women and the Self-Efficacy Scales for Diet and Exercise Behaviors. Data on the prenatal weight, blood-sugar level, and birth outcomes of participants were collected from medical records. Data were subjected to descriptive and inferential analyses using SPSS 20.0.
Results: (1) Participants scored relatively high on “disease-related diet concepts” and scored relatively low on “disease management”; (2) Participants who scored higher on dietary self-efficacy than exercise self-efficacy typically scored poorly on the question “When I feel pressed for time, I believe I am still able to adhere to my regular exercise and dietary regimen;(3) The scores for disease awareness, dietary self-efficacy, and exercise self-efficacy all associated positively with week of pregnancy; (4) The total length of pregnancy for primiparas was longer than for multiparas, higher prenatal weight and BMI were associated with more total blood loss during birth, and lower levels of education were associated with higher levels of prenatal weight gain; (5) Disease awareness, exercise self-efficacy, and postpartum HbA1c were significantly associated, while disease awareness, dietary self-efficacy, and total weight gain during pregnancy were significantly associated; and (6) Among the participants who gave vaginal birth, higher scores for exercise self-efficacy were associated with more severe perineal tearing.
Conclusions & Implications for Practice: An integrated care model should be developed in order to provide GDM women with related information / consultation services, monitor their disease management, and enhance their disease awareness and their effectiveness in managing maternal weight gain. Furthermore, Obs-Gyn nurses should receive the disease-related physiological and psychological training necessary to provide comprehensive perinatal care Finally, nurses should work to ensure that patients are able to effectively self-monitor their blood sugar levels both during and after pregnancy in order to reduce the negative effects of GDM on their health and the health of their child.


中文摘要………………………………………………………………………… i
英文摘要………………………………………………………………………… ii
目次……………………………………………………………………………… iv
表次……………………………………………………………………………… vi
圖次……………………………………………………………………………… vii
第一章緒論
第一節 研究背景與動機…………………………………………………… 1
第二節 研究目的…………………………………………………………… 3
第三節 研究問題…………………………………………………………… 3
第四節 名詞界定…………………………………………………………… 4
第二章文獻探討
第一節 妊娠糖尿病簡介…………………………………………………… 7
第二節 孕期體重控制……………………………………………………… 10
第三節 妊娠糖尿病對生產結果的影響…………………………………… 13
第四節 影響孕期體重與生產結果相關因素……………………………… 14
第三章 研究方法
第一節 研究設計…………………………………………………………… 17
第二節 研究架構…………………………………………………………… 17
第三節 研究對象與場所…………………………………………………… 18
第四節 研究工具…………………………………………………………… 19
第五節 資料分析與處理…………………………………………………… 22
第六節 倫理考量…………………………………………………………… 23
第四章 研究結果
第一節 研究對象的基本屬性……………………………………………… 24
第二節 基本人口學與孕產期資料對於生產結果之影響………………… 32
第三節 妊娠糖尿病知識及自我效能對於生產結果之影響……………… 38
第五章 討論
第一節 妊娠糖尿病分布人口學特質……………………………………… 43
第二節 妊娠糖尿病知識、自我效能程度分析…………………………… 44
第三節 人口學與生產結果………………………………………………… 48
第四節 妊娠糖尿病知識、自我效能與生產結果………………………… 50
第六章 結論與建議
第一節 結論………………………………………………………………… 54
第二節 研究限制…………………………………………………………… 54
第三節 護理實務應用與建議……………………………………………… 55
參考文獻
中文部分…………………………………………………………………… 58
外文部分…………………………………………………………………… 61
附錄
附錄一 研究說明書………………………………………………………… 70
附錄二 Gestational Diabetes Mellitus Knowledge Questionnaire…… 71
附錄三 研究問卷使用同意書……………………………………………… 73
附錄四 研究問卷使用同意書……………………………………………… 74
附錄五 研究問卷內容一(懷孕24-28週)………………………………… 75
附錄六 研究問卷內容二(懷孕29-32週)………………………………… 80
附錄七 研究問卷內容三(產後)…………………………………………… 83

參考文獻
中文部分
中華民國內政部統計處(2016)‧內政統計年報-2016育齡婦女生育率‧取自‧
http://sowf.moi.gov.tw/stat/year/list.htm。
王瑤華、潘婉琳(2014).妊娠期之評估.於李從業總校閱,實用產科護理(七版,255頁).台北:
華杏。
余文彬(2004)‧糖尿病患者的血糖控制、自我效能、自我照顧和生活品質之探討‧(未發表碩士論
文)‧台北護理健康大學。
余靜雲(2011)‧妊娠高血糖婦女周產期間社會支持、壓力與憂鬱之重複測量研究
‧(未發表碩士論文)‧高雄醫學大學。
李建南‧(2008)‧妊娠與糖尿病‧中華民國糖尿病衛教學會會訊,4(2),4-10。
doi:10.6583/tade.2008.4(2).3。
李靜芳‧(2011)‧懷孕婦女規律運動行為意向研究-計畫行為理論之驗證‧(碩士論文)‧國立臺灣師範大
學‧取自臺灣博碩士論文知識加值系統(系統編號003041615)。
李昭暉‧(2011)‧懷孕前體重、懷孕生活習慣與體重增加對於生產結果的影響‧(碩士論文)‧台北護理
健康大學‧取自臺灣博碩士論文知識加值系統(系統編號002840568)。
林淑姬(2004)‧探討懷孕第二期體重增加快速之孕婦其血糖變化與懷孕結果‧(未發表碩士論文)‧臺
北醫學大學。
林佩昭 (2015) ‧妊娠糖尿病的危險因子與懷孕結果‧(未發表博士論文)‧高雄醫學大學。
洪洵甄‧(2015)‧淺談妊娠糖尿病‧中華民國糖尿病衛教學會會訊,11(3),5-8。
doi:10.6583/tade.2015.11(3).3。
郭寶蓮、蔡秀鸞、陽琪(2002)‧充能訓練對糖尿病患者糖化血色素、自我效能和照護之成效‧台灣醫
學,6(6),848-857。doi:10.6320/FJM.2 002.6(6).07
馬鳳岐(2001)‧量性護理研究方法‧台北:護望,(113-141)。
陳宜雍(2014)‧妊娠糖尿病‧中華民國內膜異位症婦女協會會刊,21(11-12),7-10。
陳綉鵑(2006)‧以健康信念模式探討影響孕期體重控制之相關因素.(碩士論文) ‧臺北醫學大學護
理學研究所‧取自臺灣博碩士論文知識加值系統(系統編號001504738)。
陳嘉慧(2013)‧第三孕期身體活動、懷孕前身體質量指數和孕期體重增加量對生產結果之影響‧(未
發表博士論文)‧中山醫學大學。
許美雅‧(2009)‧妊娠糖尿病飲食‧中華民國糖尿病衛教學會會訊,12,18-20。
doi:10.6583/TADE.2009.5(4).7。
張永生、黃禮偉、江千代、林妙卿、邵文逸(2006)‧孕產婦體重管理之效果‧台北市醫學雜誌,
3(4),373-384。doi:10.6200/TCMJ.2006.3.4.08。
梁淑媛、蔡秀鸞、莊宇慧、吳淑芳、童恆新、王采芷、李慧貞(2013)‧淺談自我效能信念及測量工
具‧馬偕護理雜誌,7(2),7-12。
賀姝霞‧(2011)‧婦女孕期體重控制行為與體重增加及其影響因素之探討‧(未發表博士論文)‧國立
台灣大學護理學研究所。
楊淑婷‧(2006) ‧婦女孕期工作狀況與低體重新生兒之相關性探討‧(碩士論文)‧長榮大學職業安全與
衛生研究所‧取自華藝線上圖書館。
楊廷芬、尹祚芊‧(2004)‧護理人員“自然流產率”及其相關因素之探討‧榮總護理,21(4),2004。
doi:10.6142/VGHN.21.4.400
蔡名秀、黃久美、郭維茗、吳慧美、李美鶯‧(2010)‧孕婦身體活動、睡眠品質與非計畫性剖腹產‧護
理暨健康照護研究,6(1),13-23。doi:10.6225 /JNHR.6.1.13
練淑靜‧(2008)‧第2型糖尿病病人自我照顧行為及其相關因素之研究--以台中市某診所病人為例‧
(未發表碩士論文)‧國立臺灣師範大學。
蔣立琦、郭雅雯、林綽娟(2004)‧自我效能之概念分析‧護理雜誌,51(2),67-72。
衛生福利部國民健康署(2016)‧孕婦健康手冊。臺北市:作者。
衛生福利部統計處(2016)‧統計處-105年度死因統計‧取自‧http://dep.mohw.gov.tw/DOS/lp-
3352-113.html
潘文涵、杜素豪、張新儀、葉志嶸、林以勤(2008)‧民國93-97年度國民營養健康狀況變遷調查(
研究計劃編號DOH94-FS-6-4)‧行政院衛生署。
鍾慧、陳怡靜、陳立奇(2011)‧妊娠糖尿病之診斷與治療‧台灣醫學,15(6),662-667。
doi:10.6320/FJM.2011.15(6).09
簡怡雯(2001)‧飲食方法對體重控制成效之影響‧台北:國家衛生研究院。

英文部分
American Diabetes Association. (2010). Standards of Medical Care in Diabetes-
-2010. Diabetes Care, 33 (1), 11-61. doi: 10.2337/dc10-S011.
American Diabetes Association. (2016). Standards of Medical Care in Diabetes-
-2016.Diabetes Care, 39, 1-119. doi: 10.2337/dc16-S004
American College of Obstetricians and Gynecologists Committee on Obstetric
Practice. (2015). Physical activity and exercise during pregnancy and the
postpartum period. Obstetrics Gynecolgy (126), 135–142.
Alayoub, H., Curran, S., Coffey, M., Hatunic, M., & Higgins, M. (2017).
Assessment of the effectiveness of group education on knowledge for women
with newly diagnosed gestational diabetes. Irish Journal of Medical
Science, 1-4. doi:10.1007 / s11845-017-1609-9
Bain, E., Crane, M., Tieu, J., Han, S., Crowther, CA., & Middleton, P. (2015).
Diet and exercise interventions for preventing gestational diabetes
mellitus (Abstract). The Cochrane Database of Systematic Reviews, 12 (4).
doi:10.1002/14651858.
Baker, D. W. (2006). The meaning and the measure of health literacy. Journal
of Gen-eral Internal Medicine, 21(8), 878-883. doi:10.1111/j.1525-
1497.2006.00540.x
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral
change. Psychological Review, 84(2), 191-215.
Bandura, A. (1986). Social foundations of thought and action: A social
cognitive theory.Englewood Cliffs. NJ: Prentice- Hall, Inc.
Bandyopadhyay, M., Small, R., Davey, M. A., Oats, J. J., Forster, D. A., &
Aylward, A. (2011). Lived experience of gestational diabetes mellitus among
immigrant South Asian women in Australia. Australian and New Zealand
Journal of Obstetrics and Gynaecology, 51(4), 360-364. doi:10.1111/j.1479-
828X.201 1.01322.x.
Barakat, R., Pelaez, M., Montejo, R., Luaces, M. & Zakynthinaki, M. (2011).
Exercise during pregnancy improves maternal health perception: a randomized
controlled trial. American Journal of Obstetrics & Gynecology, 204(5),
402.e1-7. doi:10.1016/j.ajog.2011.01.043
Bastani, F., & Zarrabi, R. (2011). Correlations of Self-efficacy among Women
with Gestational Diabetes. Journal of HAYAT, 16(3), 56-107
Beck, J. K., Zhang, Y., Shay, C. M., Muhamedagic, C. A., Sternlof, S. A.,
Ding, K., . . . Lane, J. T. (2015). Diabetes knowledge in young adults:
associations with hemoglobin A1C. Families, Systems, & Health, 33(1), 28-
35. doi:10.1037 /fsh000010
Buchanan, T. A., & Xiang, A. H. (2005). Gestational diabetes mellitus. Journal
of Clinical Investigation, 115(3), 485-491. doi:10.1172/jci200524531
Buck, J. H. (2014) Instructor Influence on Self-Efficacy in Women With
Gestational Diabetes Mellitus. (Doctor thesis). Graduate Studies University
of Idaho.
Bungum, T. J., Peaslee, D. J., Jackson, A. W., Perez, M. A. (2000). Exercise
during pregnancy and type of delivery in nulliparae. Journal of Obstetric,
Gynecologic, & Neonatal Nursing, 29(3), 258-264.
Bottalico, J. N. (2007). Recurrent Gestational Diabetes: Risk Factors,
Diagnosis, Management, and Implications. Elsevier Inc, 31(3), 176-184.
doi:10.1053/ j.semperi.2007.03.006
Crowther, C. A., Hiller, J. E., Moss, J. R., McPhee, A. J., Jeffries, W. S.
(2005). Effect of Treatment of Gestational Diabetes Mellitus. The new
england journal of medicine, 352(24), 2477-2486.
Carolan, M., Steele, C., & Margetts, H. (2010). Attitudes towards gestational
diabetes among a multiethnic cohort in Australia. Journal of Clinical
Nursing, 19(17/18), 2446-2453 2448p. doi:10.1111/j.1365-2702.2010.03305.x
Carolon, M., Gill, G. K., & Steele, C. (2012). Women's experiences of
factors that facilitate or inhibit gestational diabetes self-management.
BMC Pregnancy And Childbirth, 12, 99-99. doi:10.1186/1471-2393-12-99
Cho, E. H., Hur, J., & Lee, K. J. (2015). Early Gestational Weight Gain Rate
and Adverse Pregnancy Outcomes in Korean Women. Public Library of Science,
10(10), 1-10. doi:10.1371/journal.pone.0140376
Chasan-Taber, L. (2015). Lifestyle interventions to reduce risk of diabetes
among women with prior gestational diabetes mellitus. Best Practice &
Research Clinical Obstetrics & Gynaecology, 29(1), 110-122.
doi:10.1016/j.bpobg yn.2014.04.019
Dennedy, M. C., & Dunne, F. (2010). The maternal and fetal impacts of obesity
and gestational diabetes on pregnancy outcome. Best Practice & Research
Clinical Endocrinology & Metabolism, 24(4), 573-589.
doi:10.1016/j.beem.2010.06.001
Devsam, B. U., Bogossian, F. E., & Peacock, A. S. (2013). An interpretive
review of women's experiences of gestational diabetes mellitus: proposing a
framework to enhance midwifery assessment. Women Birth, 26(2), 69-76.
doi:10.1016/j.wombi.2012.12.003
Dias, L. A., Driuso, P., Aita, D. L., Quintana, S. M., Bo, K., Ferreira, C. H.
(2011). Effect of pelvic floor muscle training on labour and newborn
outcomes: a randomized controlled trial. The Brazilian Journal of Physical
Therapy, 15(6), 487-493.
Esmat, N., Mahshid, N., & Nozar, N. (2010).The study of knowledge, attitude
and practice of puerperal women about exercise during pregnancy. Iran
Journal of Nursing, 23(66), 64-72. Retrieved from
http://ijn.iums.ac.ir/article-1-872-en.html
Gastal, D. A., Pinheiro, R. T., & Vazquez, D. P. (2007). Self-efficacy scale
for Brazilians with type 1 diabetes. Sao Paulo Medical Journal1,25(2), 96-
101.
Gilbert, E. (2007) Manual of High Risk Pregnancy & Delivery(4th eds).
Missoury: Mosby.
Groutz, A., Cohen, A., Gold, R., Hasson, J., Wengier, A., Lessing, J. B., & Gordon, D. (2011). Risk factors for severe perineal injury during childbirth:
a case control study of 60 consecutive cases. The Association of
Coloproctology of Great Britain and Ireland, 13(8), 216-219.
doi:10.1111/j.1463-1318.2011.02620.x
Hashimoto, K., & Koga, M. (2015). Indicators of glycemic control in patients
with gestational diabetes mellitus and pregnant women with diabetes
mellitus. World Journal of Diabetes, 6(8), 1045-1056.
doi:10.4239/wjd.v6.i8.1045
Hui, A. L., Sevenhuysen, G., Harvey, D., & Salamon, E. (2014). Stress and
anxiety in women with gestational diabetes during dietary management The
Diabetes Educator Journal., 40(5), 668-677. doi:10.1177/0145721714535991
Hussain, Z., Yusoff, Z. M., & Sulaiman, S. A. (2015). Evaluation of knowledge
regarding gestational diabetes mellitus and its association with glycaemic
level: A Malaysian study. Primary Care Diabetes, 9(3), 184-190.
doi:10.1016/j.pc d.2014.07.007
Islam, A., Khan, A. H., & Murtaza, J. N. (2008). Vacuum extraction and forceps
deliveries;comparison of mathernal and neonatal complications. The Profes
sional Medical Journal, 15((1), 87-90.
Kaiser, B., Razurel, C., & Jeannot, E. (2013). Impact of health beliefs,
social support and self-efficacy on physical activity and dietary habits
during the post-partum period after gestational diabetes mellitus: study
protocol. BMC Pregnancy And Childbirth, 13, 133-133. doi:10.1186/1471-2393-
13-133
Katon, J., Reiber, G., Williams, M. A., Yanez, D., & Miller, E. (2012).
HemoglobinA1c and postpartum abnormal glucose tolerance among women with
gestational diabetes mellitus., Obstetrical & Gynecological 119(3), 566-
574. doi:10.1097/AOG.0b013e3182475ac2
Kim, S. Y., England, L., Wilson, H. G., Bish, C., Satten, G. A., & Dietz, P.
(2010). Percentage of Gestational Diabetes Mellitus Attributable to
Overweight and Obesity. American Journal of Public Health, 100(6), 1047-
1052. doi:10.2105/AJPH.2009.172890
Kim, C., McEwen, L. N., Kieffer, E. C., Herman, W. H., & Piette, J. D. (2008).
Self-efficacy, social support, and associations with physical activity and
body mass index among women with histories of gestational diabetes
mellitus. Diabetes Educ, 34(4), 719-728. doi:10.1177/0145721708321005
Lee, Y. J., Shin, S. J., Wang, R. H., Lin, K. D., Lee, Y. L., & Wang, Y. H.
(2016). Pathways of empowerment perceptions, health literacy, self-
efficacy, and self-care behaviors to glycemic control in patients with type
2 diabetes mellitus. Patient Educ Couns, 99(2), 287-294.
doi:10.1016/j.pec.2015.08.021
Leon, L., Corrales, G., Casado, M., Suarez, S. (2017). Influence of a pelvic
floor training programme to prevent perineal trauma: A quasi-randomised
controlled trial. Midwifery, 27(50), 72-77. doi: 10.1016/j.midw.2017.03.015
Lin, T., Chou, P., Lai, M. S., Tsai, S.T., & Tai, T. Y. (2001). Direct cost-
of-illness of patients with diabetes mellitus in Taiwan. Diabetes Research
and Clinical Practice,54 (Suppl 1), 43-46.
doi:http://dx.doi.org/10.1016/S0168-8227(01)00308-4
Maayan, M. A., Schushan, I., Strauss, T., Globus, O., & Leibovitch, L. (2015).
Gestational weight gain and body mass indexes have an impact on the
outcomes of diabetic mothers and infants. Acta Paediatrica, 104(11), 1150-
1155. doi:10.1111/apa.13166
Marcus, B. H., Selby, V. C., Niaura, R. S., & Rossi, J. S. (1992). Self-
efficacy and the stages of exercise behavior change. Research Quarterly for
Eexercise and Sport, 63(1), 60-66.
Mohsin, M., Bauman, A. E., & Jalaludin, B. (2006). The influence of antenatal
and maternal factors on stillbirths and neonatal deaths in New South Wales,
Australia. Journal of Biosocial Science, 38(5), 643-657.
doi:10.1017/S002193200502701X
Momeni, J. F., Simbar, M., Dolatian, M., Alavi, M. H., & Mahmoodi, Z. (2016).
A Comparative Study on Dietary Style and Physical Activity of Women With
and Without Gestational Diabetes. Acta Media Iranica, 54(10), 651-656.
Mpondo, B. C., Ernest, A., & Dee, H. E. (2015). Gestational diabetes mellitus:
challenges in diagnosis and management. Joural Diabetes Metabolic
Disorders, 14, 42. doi:10.1186/s40200-015-0169-7
National Institute for Health and Clinical Excellence. (2015) New thresholds
for diagnosis of diabetes in pregnancy: Feb 2015 retrieve from
https://www.nice. org.uk/news/article/new-thresholds-for-diagnosis-of-
diabetes-in-pregnancy
Nazir, S. U., Hassali, M. A., Saleem, F., Bashir, S., & Aljadhey, H. (2016).
Disease related knowledge, medication adherence and glycaemic control among
patients with type 2 diabetes mellitus in Pakistan. Primary Care Diabetes,
10(2), 136-141. doi:10.1016/j.pcd.2015.09.004
Nillsson, P., M (1999). Increased weight and blood pressure in adolescent male
offspring to mothers with pre-pregnancy diabetes—a genetic link? Journal of
Human Hypertension 13, 793–795
Persson, M., Winkvist, A., & Mogren, I. (2010). 'From stun to gradual
balance'--women's experiences of living with gestational diabetes mellitus.
Scandinavian Journal Of Caring Sciences, 24(3), 454-462.
doi:10.1111/j.1471 -671 2.2009.00735.x
Qiu, C., Enquobahrie, D., Frederick, I. O., Abetew, D., & Williams, M. A.
(2010). Glucose intolerance and gestational diabetes risk in relation to
sleep duration and snoring during pregnancy: a pilot study. BMC Womens
Health, 10-17. doi:10.1186/1472-6874-10-17
Quinn, C. C., Khokhar, B., Weed, K., Barr, E., & Gruber-Baldini, A. L. (2015).
Older Adult Self-Efficacy Study of Mobile Phone Diabetes Management.
Diabetes Technology & Therapeutics, 17(7), 455-461.
doi:10.1089/dia.2014.0341
Shand, A. W., Bell, J. C., McElduff, A., Morris, J., & Roberts, C. L. (2008).
Outcomes of pregnancies in women with pre-gestational diabetes mellitus and
gestational diabetes mellitus; a population-based study in New South Wales,
Australia, 1998-2002. Diabetic Medicine , 25(6), 708-715.
doi:10.1111 /j.1464-5491.2008.02431.x
Smith, B. J., Cheng, N. W., Bauman, A. E., Zehle, K., & McLean, M. (2005).
Postpartum physical activity and related psychosocial factors among women
with recent gestational diabetes mellitus. Diabetes Care, 28(11), 2650-
2654.
Schneiderman, E. H. (2010). Gestational diabetes: an overview of a growing
health concern for women. Journal of Infusion Nursing, 33(1), 48-54.
doi:10.1097/ NAN. 0b0 13e3181c6d983
Srichumchit, S., Luewan, S., & Tongsong, T. (2015). Outcomes of pregnancy with
gestational diabetes mellitus. International Journal of Gynecology and
Obstetrics, 1-4. doi:10.1016/j.ijgo.2015.05.033
Stuber, T. N., Kunzel, E. C., Zollner, U., Rehn, M., Wockel, A., & Honig, A.
(2015). Prevalence and Associated Risk Factors for Obesity During Pregnancy
Over Time. Geburtshilfe Frauenheilkd, 75(9), 923-928. doi:10.1055/s-0035-
1557868
Scifres, C., Feghali, M., Althouse, A. D., Caritis, S., & Catov, J. (2015).
Adverse Outcomes and Potential Targets for Intervention in Gestational
Diabetes and Obesity. Obstetrics & Gynecology, 126(2), 316-325.
Tawfik, M. Y., (2017).The Impact of Health Education Intervention for
Prevention and Early Detection of Type 2 Diabetes in Women with Gestational
Diabetes. Journal of Community Health, 42(3), 500-510. doi: 10.1007/s10900-
016-0282-7.
Venkataraman, K., Kannan, A. T., Kalra, O. P., Gambhir, J. K., Sharma, A. K.,
Sundaram, K. R., & Mohan, V. (2012). Diabetes self-efficacy strongly
influences actual control of diabetes in patients attending a tertiary
hospital in India. Journal of Community Health, 37(3), 653-662.
doi:10.1007/s10900-011-9496-x
Wilmot, E. G., & Mansell, P. (2014). Diabetes and pregnancy. Clinical
Medicine, 14(6), 677-680. doi:10.1097/AOG.0000000000000928
Yu, H., Qi, X., & Wang, X. (2014). Application of glycated hemoglobin in the
perinatal period. International Journal of Clinical and Experimental
Medicine, 7(12), 4653-4659.
Yogev, Y., Xenakis, E, M., & Langer, O. (2004). The association between
preeclampsia and the severity of gestational diabetes: the impact of
glycemic control. American Journal of Obstetrics & Gynecology, 191(5),
1655-1600. doi:10.10 16/j.ajog. 20
04.03.074
Zehle, K., Smith, B. J., Chey, T., McLean, M., Bauman, A. E., & Cheung, N. W.
(2008). Psychosocial factors related to diet among women with recent
gestational diabetes: opportunities for intervention. The Diabetes Educator
Journal, 34(5), 807-814. doi:10.1177/0145721708323641
Zhang, C., & Ning, Y. (2011). Effect of dietary and lifestyle factors on the
risk of gestational diabetes: review of epidemiologic evidence. The
American Journal of Clinical Nutrition, 94(6 Suppl), 1975-1979.
doi:10.3945/ajcn.110.001032

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