Prediction of Self- care Behaviors of Women with Gestational Diabetes based on Belief of Person in own Ability (Self- Efficacy)

Document Type : Original Article


1 Assistant Professor, Department of Midwifery, Evidence- Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 M.Sc. student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Assistant Professor, Department of Clinical Psychology, Psychiatry and Behavioral Sciences Research Center, School of Medical, Mashhad University of Medical Sciences, Mashhad, Iran

4 Instructor, Department of Nursing, Evidence- Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

5 Professor, Department of Obstetrics and Gynecology, Women’s Health Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


Introduction: Gestational diabetes is one of the issues that can lead to pregnancy adverse outcomes. Self-care is the first step to help the patients for better management of their disease that belief of person in own ability to do a job or adapt to a stressful situation (self- efficacy) is one of the relevant factors. Therefore, this study was performed with aim to predict self- care behaviors of women with gestational diabetes based on belief of person in own ability (self- efficacy).
Methods: This predictor correlation study was performed on 400 women with gestational diabetes referred to health centers and midwifery clinics related to Mashhad University of Medical Sciences in 2015. Data collection tools were Individual questionnaire, self- care questionnaire retrieved from Summary Diabetes Self-Care Activities (SDSCA) scale and diabetic self- efficacy questionnaire. Data were analyzed using SPSS software (version 16), Pearson correlation coefficients test and Liner regressions model. PResults: 248 women (62%) with gestational diabetes had moderate self- efficacy and 261 (65.2%) had moderate self- care. Results of Pearson correlation coefficients test showed a significant direct correlation between self- efficacy and self- care (P<0.0001, r=0.31) and according to Liner regressions model, self- efficacy was considered as a predictor variable of self- care (P<0.0001).
Conclusion: Self- efficacy is able to predict self- care behaviors in women with gestational diabetes. Regarding the direct linear relationship between these two variables in this study and moderate level of self-efficacy in women with gestational diabetes, the importance of psychological interventions should be considered for treatment of gestational diabetes.


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