Gestasyonel Diyabetes Mellitus Yönetimi: Öz-etkililik ve Perinatal Sonuçlar

Yıl 2015, , 209 - 215, 01.12.2015

Emine Gerçek , Hakan Şen

https://doi.org/10.4274/jcp.44366

Öz

Bu derlemenin amacı gestasyonel diyabetin yönetiminde öz-etkililiğin perinatal sonuçlar üzerindeki etkisi hakkında bilgi vermektir. Gestasyonel diyabetes mellitus GDM anne ve fetüs/yenidoğan sağlığı açısından potansiyel olumsuz sonuçları nedeniyle önemli bir sağlık problemidir. GDM’nin tedavisi ve yakın monitörizasyon gebe kadın ve bebeğinin uzun dönem sağlığı için önemlidir. Dahası gebelikte maternal metabolik kontrol, kadınlarda tip II diyabet gelişme riskinin geciktirmenin yanısıra çocuklarda da obezite ve tip II diyabet gelişme riskini geciktirmektedir. GDM’li kadınlarda öz-etkililik ve sağlık davranışlarını benimseme konusunda birkaç çalışma bulunmaktadır. Bununla birlikte, kilo kaybı, egzersiz, diyet ve kendi kendine kan glukozu kontrolü gibi sağlığı geliştirme davranışlarının diyabet gelişme riskini azalttığını gösteren güçlü kanıtlar vardır. Gestasyonel diyabetli kadınlarda diyabetin erken tanısı ve önlenmesinde yaşam biçimi değişiklikleri kilo kaybı, egzersiz, diyet vb. , hekim izlemi ve postpartum glukoz taraması gereklidir

Anahtar Kelimeler

Gestasyonel diyabet, öz-etkililik, perinatal sonuçlar

Management of Gestational Diabetes Mellitus: Self- efficacy and Perinatal Outcomes

Öz

The purpose of this review is to give knowledge about effects on perinatal outcomes of self-efficacy in management of gestational diabetes. Gestational diabetes mellitus GDM is a significant health concern due to the potentially adverse outcomes for the mother and the fetus/infant. Close monitoring and treatment of GDM are important to the long-term health of a pregnant woman and her baby. More over, maternal metabolic control during pregnancy may positively impact women’s risk of later onset of type II diabetes and the risk of obesity and type II diabetes in their children. There are few studies which focus on selfefficacy and adoption of health behaviors in women with GDM; however, there is strong evidence demonstrating that health promotion behavior such as weight loss, exercise, healthy diet and self-monitoring blood glucose concentrations will decrease the risk of developing diabetes mellitus DM . In addition, lifestyle modifications e.g. weight loss, healthy diet, and exercise , compliance with physician appointments, and postpartum glucose screening are essential for early diagnosis and prevention of DM in women with GDM

Anahtar Kelimeler

Gestational diabetes, self-efficacy, perinatal outcomes

Kaynakça

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