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Well-Being and Diabetes Management in Early Pregnant Women with Type 1 Diabetes Mellitus

Artikel i vetenskaplig tidskrift
Författare Karolina Lindén
Carina Sparud Lundin
A. Adolfsson
Marie Berg
Publicerad i International Journal of Environmental Research and Public Health
Volym 13
Nummer/häfte 8
Sidor no. 836
ISSN 1660-4601
Publiceringsår 2016
Publicerad vid Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Institutionen för vårdvetenskap och hälsa
Sidor no. 836
Språk en
Länkar dx.doi.org/10.3390/ijerph13080836
Ämnesord type 1 diabetes mellitus, pregnancy, well-being, diabetes management, population-based cohort, psychometric properties, coherence scale, swedish version, problem-areas, hypoglycemia, motherhood, sense, care, questionnaire, Environmental Sciences & Ecology
Ämneskategorier Diabetologi, Hälsovetenskaper

Sammanfattning

This paper explores well-being and diabetes management in women with type 1 diabetes mellitus (DM) in early pregnancy and investigates associations among perceived well-being, diabetes management, and maternal characteristics. Questionnaires were answered by 168 Swedish women. Correlation analyses were conducted with Spearman's correlation coefficient (r(s)). The women reported relatively high scores of self-efficacy in diabetes management (SWE-DES-10: 3.91 (0.51)) and self-perceived health (excellent (6.5%), very good (42.3%), good (38.7%), fair (11.3%) and poor (1.2%)). Moderate scores were reported for general well-being (WBQ-12: 22.6 (5.7)) and sense of coherence (SOC-13: 68.9 (9.7), moderate/low scores for hypoglycemia fear (SWE-HFS 26.6 (11.8)) and low scores of diabetes-distress (SWE-PAID-20 27.1 (15.9)). A higher capability of self-efficacy in diabetes management showed positive correlations with self-perceived health (r(s) = 0.41, p < 0.0001) and well-being (r(s) = 0.34, p < 0.0001) as well as negative correlations with diabetes distress (r(s) = 0.51, p < 0.0001) and hypoglycemia worries (r(s) = 0.27, p = 0.0009). Women with HbA1c levels of <= 48 mmL/mol scored higher in the subscales "goal achievement" in SWE-DES (p = 0.0028) and "comprehensibility" in SOC (p = 0.016). Well-being and diabetes management could be supported by strengthening the women's capability to achieve glycemic goals and their comprehensibility in relation to the treatment. Further studies are needed to test this.

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Denna text är utskriven från följande webbsida:
http://www.gu.se/forskning/publikation/?publicationId=243141
Utskriftsdatum: 2019-07-21