Original Article

Comparing the effects of face-to-face training and booklet-based education on maternal outcomes in gestational diabetes: a randomized controlled clinical trial

Abstract

Background & Aim: Gestational diabetes is a medical condition that can lead to adverse outcomes of pregnancy. In this regard, the best way to reduce symptoms can be patient education. Hence, the aim of this study was to determine the effects of face-to-face training and booklet-based education on the maternal outcomes of diabetes in pregnancy.
Methods & Materials: A total of 126 patients with gestational diabetes were randomly enrolled in this controlled clinical trial. The patients were randomly allocated into three groups and were followed up to 1 week after birth. The 42 samples in the first intervention group, received face-to-face training by the researcher. The 42 samples. The second intervention group received a researcher made educational booklet and the 42 samples. This group as a control received routine hospital care and education. Then, the participants were contacted by the researcher, and a record sheet was completed by them. In this study, Fisher’s exact test, chi-square, ANOVA and Kruskal–Wallis were used to analyze
the data.
Results: Among the studied outcomes, the number of maternal readmission, changing of the treatment from diet control to insulin therapy, increasing doses of insulin, showed significant differences in the groups, but among other outcomes, there were no statistically significant differences in the groups.
Conclusion: Training by different methods is effective in patients with gestational diabetes and can increase the health of mothers and children. It also leads to lower costs of hospital stay.

Baghianimoghadam M, Afkhami Ardekani M.The effect of educational intervention on quality of life of diabetic patients type 2, referee to dia- betic research centre of Yazd. Horizon Med Sci 2008; 13(4): 21-8. [In Persian].

Saxena P, Tyagi S, Prakash A, Nigam A, Trivedi SS. Pregnancy outcome of women with gestational diabetes in a tertiary level hospital of north India. Indian J Community Med 2011; 36(2): 120-3.

Nobahar M. Fundamentals of nursing. Tehran,Iran: Hakim Hidaji Publication; 2010. [In Persian].

Bastani F, Zarrabi R. Correlations of self- efficacy among women with gestational diabe- tes. Hayat 2010; 14(3-4): 56-65. [In Persian].

Khorshidi Ruzbahani R. Effect of telephone follow-up of mothers with gestational diabetes on pregnancy outcome and public health [MSc Thesis]. Tehran, Iran: Tehran University of Medical Sciences; 2012. [In Persian].

Afkhami Ardakani A, Rashidi M. Gestational diabetes self-study. J Shaheed Sadoughi Univ Med Sci 2006; 14(2): 82-93. [In Persian].

Bulechek GM, Butcher HK, McCloskey Dochterman J. Nurse-surgical bruner and svdars, liver, lymph, bile ducts and diabetes. Trans. Asadi Noghabi AA, Dehghan Nayeri N. Tehran, Iran: Salemi Publications; 2008. [In Persian].

Cunningham W. Pregnancy Williams. Trans.Ghazi Jahan B, Ghotbi R. Tehran, Iran: Golban Publications; 2010. [In Persian].

Khoshniat Nikoo M, Abbaszadeh Aharnajani SH, Larijani B. Studies examining the prevalence of GDM in different parts of Iran. Iran J Diabetes Lipid Disord 2008; 8(1): 1-10. [In Persian].

Rice GE, Illanes SE, Mitchell MD. Gestational diabetes mellitus: a positive predictor of Type 2 Diabetes? Int J Endocrinol 2012; 2012: 10.

Nouhi E, Pourabouli B. Educational require- ments of the discharged patients and their satis- faction about nursing educational performance, Kerman, Iran. Hormozgan Med J 2009; 13(3):206-12. [In Persian].

Nilofer AR, Raju VS, Dakshayini BR, Zaki SA.Screening in high-risk group of gestational dia- betes mellitus with its maternal and fetal out- comes. Indian J Endocrinol Metab 2012;16(Suppl 1): S74-S78.

Mohamadi M. A comparison of two different methods of computer training and face to faceherapy adherence in patients after acute myo- cardial infarction [MSc Thesis]. Tehran, Iran: Tehran University of Medical Sciences; 2010. [In Persian].

Yaghobian M, Yaghobi T, Salmeh F, Golmo-hammadi F, Safari H, Savasari R, et al. Com- paring the effect of teaching using educational booklets and lecture along with educational booklets on nurses' knowledge about profes- sional laws and regulations. Iranian J Med Edu 2010; 9(4): 372-80.

Ravanipoor M, Ravanipoor M, Rasafiani H. Ef- fect of educational booklet on primary students knowledge of air pollution. Proceedings of the 12th National Congress on Environmental Health;2009 Nov 3-5; Tehran, Iran. [In Persian].

Suzuki VF, Carmona EV, Lima MH. Planning the hospital discharge of patients with diabetes: the construction of a proposal. Rev Esc Enferm USP 2011; 45(2): 527-32.

Shirani F. Effect of discharge planning on re- admission, satisfaction with nursing care and self-care ability in patients with coronary artery bypass graft surgery [MSc Thesis]. Tehran, Iran: Tehran University of Medical Sciences;2010. [In Persian].

Ranjbar F, Ghanbari B, Khaleghparast S, Manouchehri H, Nasiri N. The Effects of Dis- charge Planning on Insight, Symptoms and Hos- pitalization of Schizophrenia Patients at Iran University of Medical Sciences Hospitals. Iran J Psychiatry Clin Psychol 2011; 17(1): 53-9.

Bener A, Saleh NM, Al-Hamaq A. Prevalence of gestational diabetes and associated maternal and neonatal complications in a fast-developing community: global comparisons. Int J Womens Health 2011; 3: 367-73.

Fardi Azar Z, Abdollahi Fard S, Najafipoor F, Shahr Azad I. Study of maternal complications of diabetes and gestational diabetes. Iran J Obstet Gynecol Infertil 2007; 10(1): 17-24. [In Persian].

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SectionOriginal Article(s)
Keywords
educational training gestational diabetes fetal outcome

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How to Cite
1.
Rahimi-Kian F, Dehghan-Nayeri N, Mehran A, Shirazi M, Senobari M. Comparing the effects of face-to-face training and booklet-based education on maternal outcomes in gestational diabetes: a randomized controlled clinical trial. NPT. 2017;3(2):44-50.