Health Literacy and Adherence to Dietary Regimen among Women with Gestational Diabetes under Nutrition Therapy

Q3 Medicine

Evidence Based Care Journal Pub Date : 2021-01-01 DOI:10.22038/EBCJ.2021.53206.2406

Mahla Salarfard, M. Moradi

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引用次数: 0

Abstract

Background: Treatment adherence in diabetics is an important challenge in controlling diabetes. Health literacy is a great determinant of health. Future studies need to address determinants of adherence, as this may be crucial. Aim: Determining the association between health literacy and treatment adherence to the treatment regimen in women with gestational diabetes. Method: The present cross-sectional study was conducted on 260 women with gestational diabetes receive nutrition therapy from September to January 2019. The subjects were selected by multistage sampling methods from ten health centers and Imam Reza, Ghaem, and Ommolbanin Hospitals of Mashhad. Data were collected by the brief Test of Functional Health Literacy in Adults (TOFHLA), and a researcher-made questionnaire of adherence to the treatment regimen (diet, exercise, and blood sugar monitoring) with verified validity and reliability. Data were analyzed using SPSS 16. Results: Spearman's rank correlation coefficient indicated significant direct relationships between health literacy and the score of dietary adherence (p <0.001, r=0.314), blood sugar monitoring (p <0.001, r=0.241), exercise adherence (P=0.009, r=0.162) with total adherence to the treatment regimen (p <0.001, r=0.356). Implications for Practice: Promoting health literacy through educational interventions in mothers with gestational diabetes is essential according to its relation to raise dietary adherence (diet, exercise, blood sugar monitoring).

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营养治疗下妊娠期糖尿病妇女的健康素养和饮食方案依从性

背景:糖尿病患者的治疗依从性是控制糖尿病的一个重要挑战。卫生知识是健康的重要决定因素。未来的研究需要解决依从性的决定因素，因为这可能至关重要。目的:确定妊娠期糖尿病妇女健康素养与治疗依从性之间的关系。方法:对2019年9月至1月接受营养治疗的260例妊娠期糖尿病患者进行横断面研究。采用多阶段抽样方法从10个卫生中心和马什哈德的伊玛目礼萨、加姆和Ommolbanin医院选择受试者。数据通过简短的成人功能健康素养测试(TOFHLA)和研究者制作的治疗方案依从性问卷(饮食、运动和血糖监测)收集，并验证了其效度和信度。数据采用SPSS 16进行分析。结果:Spearman等级相关系数显示，健康素养与饮食依从性评分(p <0.001, r=0.314)、血糖监测评分(p <0.001, r=0.241)、运动依从性评分(p =0.009, r=0.162)和治疗方案总依从性评分(p <0.001, r=0.356)之间存在显著的直接关系。对实践的影响:根据其与提高饮食依从性(饮食、运动、血糖监测)的关系，通过教育干预措施促进患有妊娠糖尿病的母亲的健康素养至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.