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Well-Being and Diabetes Management in Early Pregnant Women with Type 1 Diabetes Mellitus
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Örebro University, School of Health Sciences. Faculty of Health Sciences, Department of Nursing Science, Vestfold University College of Southeast Norway, Kongsberg, Norway. (Complications in the Reproductive Life of Women)ORCID iD: 0000-0002-2577-1632
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
2016 (English)In: International Journal of Environmental Research and Public Health, ISSN 1660-4601, E-ISSN 1660-4601, Vol. 13, no 8, 836Article in journal (Refereed) Published
Abstract [en]

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 (rs). 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 (rs = −0.41, p < 0.0001) and well-being (rs = 0.34, p < 0.0001) as well as negative correlations with diabetes distress (rs = −0.51, p < 0.0001) and hypoglycemia worries (rs = −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.

Place, publisher, year, edition, pages
Basel, Switzerland: MDPI , 2016. Vol. 13, no 8, 836
Keyword [en]
Type 1 diabetes mellitus; pregnancy; well-being; diabetes management
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-51730DOI: 10.3390/ijerph13080836OAI: oai:DiVA.org:oru-51730DiVA: diva2:954499
Projects
MODIAB-WEB
Note

Fundings: the Swedish Diabetes Association, University of Gothenburg Centre for Person-centred Care, Sweden, Health & Medical Care Committee of the Regional Executive Board, Region Västra Götaland, Sweden; University of Gothenburg Institute of Health and Care Sciences together with the Sahlgrenska Academy, Sweden.

Available from: 2016-08-22 Created: 2016-08-22 Last updated: 2016-08-24Bibliographically approved

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