EXAMINATION OF ADHERENCY OF HIGH-RISK PREGNANT WOMEN WITH GESTATIONAL DIABETES MELLITUS CARE ESPECIALLY WITH RESPECT TO DIET AND PHYSICAL ACTIVITY

Author(s)

Karácsony I1, Simon M1, Szabó L2, Oláh A2, Boncz I2, Pachner O1, Ipolyi D3, Pakai A4
1University of Pécs, Szombathely, Hungary, 2University of Pécs, Pécs, Hungary, 3University of Pécs, Kaposvár, Hungary, 4University of Pécs, Zalaegerszeg, Hungary

OBJECTIVES: Gestational diabetes mellitus is one of the most commonly occurring conditions in pregnancy. We chose the adherency examination of pregnant women with gestational diabetes mellitus care as topic of our research

METHODS: The type of our research was cross-sectional, quantitative nature. Our selected target group included mothers who were previously diagnosed with GDM during their pregnancy and who had 1-7 years old children (n=76). The sampling method was non-randomized, targeted selection. Our research, was carried out between June 2016 and January 2017 in Szombathely, Hungary. Question groups of our own-edited questionnaire: socio-demographic data, lifestyle, care follow-up. We used mean, prevalence and Chi2 test to statistical analysis. Evaluation of the questionnaires was done by MS Excel software.

RESULTS: Gestational diabetes have been formed during the first pregnancy in 71% of the cases. In 81% of the cases GDM was also present during their later pregnancies, 13% of cases, type 2 diabetes mellitus developed as well after their GDM pregnancy. Since their GDM pregnancy, 11 people did not check their blood sugar levels. Examining the frequency of the metabolic syndrome, the daily 30-minute physical activity had preventive effect against the development of disease (p <0.05). We could not find a strong correlation between qualification, regular attendance of care and adherence to diet (p> 0.05), between lifestyle changes, including dietary habits change and onset of type 2 diabetes mellitus (p> 0.05). Comparing educational level and therapeutic cooperation, we found a correlation with respect to adherence with prescribed drug therapy (p <0.05).

CONCLUSIONS: We would pay more attention to follow up women treated with GDM who has already given birth because with a proper diet and physical activity we can easily reduce or delay the development of type 2 diabetes mellitus and metabolic syndrome.

Conference/Value in Health Info

2017-11, ISPOR Europe 2017, Glasgow, Scotland

Value in Health, Vol. 20, No. 9 (October 2017)

Code

PHS62

Topic

Patient-Centered Research

Topic Subcategory

Adherence, Persistence, & Compliance, Stated Preference & Patient Satisfaction

Disease

Reproductive and Sexual Health

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