The Relationship Between Health Belief Model and Compliance with Therapeutic Regimen Among Diabetic Pregnant Women

Authors

  • Noha Mohamed Mahmoud Lecturer, Obstetric and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt
  • Neama Yousef Mohammed Lecturer, Community Health Nursing Faculty of Nursing, Alexandria University, Egypt
  • Rasha Mohamed Essa Assistant Professor, Obstetrics and Gynecologic Nursing, Faculty of Nursing, Damanhour University, Egypt

DOI:

https://doi.org/10.53555/hsn.v4i2.259

Keywords:

GDM, Compliance, Gestational Diabetic Regimen, Health Belief Model

Abstract

Introduction: Pregnant women compliance to gestational diabetes militias (GDM) regimen plays
a major role in improving their overall quality of life. However, as postulated by the Health
Belief Model a greater perception of risk is associated with a greater intention to adapt lifestyle,
especially in terms of diet and physical activity. Aim of the study: to find out the relationship
between health belief model and compliance with therapeutic regimen among diabetic pregnant
women. Materials & Method: Research design: A descriptive research design was utilized in
this study. Setting: This study was conducted in the outpatient clinic of antenatal unit at ElShatby Maternity Hospital. Subjects: Convenience samples of 130 pregnant women attending the previously mentioned setting were recruited in the study. Tools: three tools were used to collect the necessary data, namely: Pregnant Women Basic Data Structured Interview Schedule, Summary of Diabetes Self-Care Activities (SDSCA) & Gestational Diabetes Health Belief Model Scale. Results: About two thirds (66.9%) of the study subjects were unsatisfactory compliant with diabetic regimen. Meanwhile 33.1% of the study subjects were satisfactory compliant with their regimen. A statistically significant correlation was noticed between subjects’ total score of compliance and their perceived susceptibility, severity, benefits and barrier (p= 0.001, 0.020, 0.002, 0.000) respectively. Conclusion: It can be concluded that level of pregnant women compliance with gestational diabetes regimen was associated with some
modifying factors such as level of education, income, residence, parity, number of living children, planned pregnancy, number of antenatal visits and onset of (GDM). Furthermore, level of pregnant women compliance with GD regimen was associated with their perceived susceptibility, severity, benefits as well as barriers. Recommendation(S): To raise pregnant women awareness toward gestational diabetes including extent of the problem, risk factors, signs, complications, diagnosis through using preventive awareness campaigns and community mobilization.

Downloads

Download data is not yet available.

References

American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2012;35(1):64–71

Ghojazadeh M, Azami-Aghdash S, Mohammadi M, Vosoogh S, Mohammadi S, Naghavi-Behzad M. Prognostic risk factors for early diagnosing of Preeclampsia in Nulliparas. Nigerian Med J 2013;54(5):344.

Wendland EM, Torloni MR, Falavigna M, Trujillo J, Dode MA, Campos MA, Duncan BB, Schmidt MI. Gestational diabetes and pregnancy outcomes--a systematic review of the World Health Organization (WHO) and the International Association of Diabetes in Pregnancy Study Groups (IADPSG) diagnostic criteria. BMC Pregnancy Childbirth2012; 12(23):1471-2393

International Diabetes Federation: IDF Diabetes Atlas, 5thEd, 2011.

FeigDS, Zinman B, Wang X, Hux JE. Risk of development of diabetes mellitus after diagnosis of gestational diabetes. CMAJ2008; 179: 229–234

Ajayi JA. Factors associated with poor glycemic control among patients withtype 2 diabetes. Journal of Diabetes and Its Complications. 2011; 24:84–89.

Järvelä IY, Juutinen J, Koskela P, Hartikainen AL, Kulmala P, Knip M. Gestational diabetes identifies women at risk for permanent type 1 and type 2 diabetes in fertile age: predictive role of autoantibodies. Diabetes Care 2006; 29 :607-612

Canadian Diabetes Association. Clinical practice guidelines for the prevention and management of diabetes in Canada. CanJ Diabetes 2008; 32(Suppl 1): S1–S201.

Horvath.K, Siebenhofer.A, Koch.K,Jeitler.K, Matyas.E, Bastian.H,Lange S. Effects of treatment in women with gestational diabetes mellitus: systematic review and meta-analysis.BMJ. 2010 April; 340:1-18.

Pridjian, G, Benjamin TD. Update on gestational diabetes. Obstet Gynecol Clin North Am 2010 Jun; 37: 255-67.

Metzger BE, Gabbe SG, Persson B, Buchanan TA, Catalano PA. International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care 2010;33:676-8

GhaffariF,SalsaliM,RahnavardZ,ParvizyS.Compliance with treatment regimen in women with gestational diabetes: Living with fearIran J Nurs Midwifery Res. 2014; 19(7 ): 103–111.

Karakash SD, Einstein FH. Diabetes in pregnancy: glycemia control guidelines and rationale. Curr Opin Endocrinol Diabetes Obes 2011;18:99-103.

Carolan M, Gill G. K, SteeleC. Women's experiences of factors that facilitate or inhibit gestational diabetes self-management. BMC Pregnancy and Childbirth, 2012;12(99)2393-12-99.

Lawrence JM: Women with diabetes in pregnancy: different perceptions and expectations. Best Pract Res Clin Obstet Gynaecol 2011, 25(1):15-24

Miller, K. Communication theories: Perspectives, processes, and contexts. 2nded.New York: McGraw Hill.2005.

Tanner-Smith, E.Evaluating the Health Belief Model: A critical review of studies predicting mammograpohic and pap screening. Social theory and Health 2010;8(1), 95-125.

Glasgow R E, Toobert D J, Hampson SE. The Summary of DiabetesSelf-Care Activities Measure: Results from 7 studies and a revised scale. Diabetes Care 2000, 23, 943-950

Given, C.W., Given, B.A., Gallin, R.S, Condon, J.W. Development of scales to measure beliefs of diabetic patients. Research in Nursing and Health, 1983;6:127-141.

Bradley C.Handbook of psychology and diabetes: a guide to psychological measurement in diabetes research and practice.Routledge;2013.

Zhang F, Dong L, Zhang CP, Li B, Wen J, Gao W, et al. Increasing prevalence of gestational diabetes mellitus in Chinese women from 1999 to 2008.Diabetic Med.2011; 28:652–7.

Mersereau P, Williams J, Collier SA, Mulholland C, Turay K, Prue C. Barriers to managing diabetes during pregnancy: The perceptions of health care practitioners.Birth.2011;38:142–9.

Sunsaneevithayakul P,Boriboonhirunsarn D.Ruengkhachorn I.Non-complianceto clinical practice guideline for screening of gestational diabetes mellitus in Siriraj Hospital.J Med Assoc Thai.2006 Jun;89(6):767-72.61Volume-4

Kio1 JO, Kio-Umoru O B , Olukoso Z. Assessment of Dietary and Drug Compliance among Diabetic Pregnant Women Attending Antenatal Clinic in NigeriaBritish Journal of Medicine & Medical Research 2015;9(9): 1-9.

Serap T, Bayram S. factors influencing adherence to diabetes medication in Turkey. Sch.J.App.Med.Sci., 2015;3(2A):602-7

Murphy A, Guilar A, Donat D. Nutrition Education for Women withNewly Diagnosed Gestational Diabetes Mellitus: Small-group vs. Individual CounselingCanadian Journal of Diabetes. 2004;28(2):110-14.

Kapur K, Kapur A, Ramachandran Sh, MohanV, Aravind SR, Badgandi M, Srishyla MV. Barriers to Changing Dietary Behavior. JAPI • 2008;56 :26-32.

Pourghaznein T, Ghaffari F, Hasanzadeh F, Chamanzari H. The relationship between health beliefs and medication adherence in patients with type 2 diabetes: A correlation-cross sectional study. Life Science Journal, 2013; 10(4):38-46.

Exavery A, Kanté A, Hingora A, Mbaruku G, Pemba S, Phillips J. How mistimed and unwanted pregnancies affect timing of antenatal care initiation in three districts in Tanzania. BMC Pregnancy and Childbirth 2013, 13:35.

Jalilian F, Motlagh F, Solhi M, Gharibnavaz H. Effectiveness of self-management promotion educational program among diabetic patients based on health belief model. J Educ Health Promot, 2014; 3(14).

Alatawi Y, Kavookjian J, Ekong G, Alrayees M. The association between health beliefs and medication adherence among patients with type 2 diabetes. Res Social Adm Pharm. 2016 12(6):914-925.

Sharifirad G, Hazahehi M, Baghianimoghadam M, Mohebi S. The effect of a health belief model based education program for foot care in diabetic patients type II in Kermanshah, Iran . Int J Endocrinol Metab 2007; 2: 82-90.

Jacob J. The impact of Protection Motivation Theory grounded messaging on diabetes prevention behaviors following Gestational Diabetes. Electronic Master Thesis; Western University, 2013.

Morrison MK, Collins CE, Lowe JM. Dietetic practice in the management of gestational diabetes mellitus: A survey of Australian dietitians. Nutr Dietetics2011; 68: 189–194.

Sharma M. A qualitative exploration of risk perceptions, health beliefs and health behaviours in women with previous history of gestational diabetes. Master thesis. University of Chester, United Kingdom, 2015

CollierS, Mulholland C, Williams J, Mersereau Kha P.A Qualitative Study of Perceived Barriers to Management of Diabetes Among Women with a History of Diabetes During Pregnancy.Journal of Women'sHealth. September 2011, 20(9): 1333-1339.

Grady C. Attitudes and Perceptions Concerning Pregnancy among Adult Women with Type 1 or Type 2 Diabetes. Master thesis, Drexel University, 2014.

Bayat F, Shojaeezadeh D, Baikpour M, Heshmat R, Baikpour M. The effects of education based on extended health belief model in type 2 diabetic patients: a randomized controlled trial. Journal of diabetes &Metabolic disorders, 2013; 12:45

Downloads

Published

2018-03-31

How to Cite

Mahmoud, N. M., Mohammed, N. Y., & Essa, R. M. (2018). The Relationship Between Health Belief Model and Compliance with Therapeutic Regimen Among Diabetic Pregnant Women. International Journal For Research In Health Sciences And Nursing, 4(2), 40–63. https://doi.org/10.53555/hsn.v4i2.259

Most read articles by the same author(s)