Predictors of Hyperglycemic Women's Perinatal Health Status. Issue 6 (27th August 2016)

• Record Type: Journal Article
• Authors: Yu, Ching‐Yun; Hung, Chich‐Hsiu; Huang, Mei‐Chuan; Chan, Te‐Fu
• Is Part Of: Worldviews on evidence-based nursing. Volume 13:Issue 6(2016)
• Page Start: 445
• Page End: 453
• Publication Date: 2016-08-27
• Subjects: hyperglycemic women -- perinatal period -- stress -- social support -- depression -- health status; Evidence-based nursing -- Periodicals; 610.7
• DOI: 10.1111/wvn.12173
• Languages: English
• ISSNs: 1545-102X

Abstract

ABSTRACT: Background: Hyperglycemic women face dramatic physiological and psychosocial changes during the perinatal period; however, studies examining hyperglycemic women's health are few, and limited to cross‐sectional designs. Purpose: This study aimed to examine changes in hyperglycemic women's stress, social support, depression, and health status from pregnancy to 1 year postpartum, and to identify factors predicting hyperglycemic women's perinatal health. Methods: Ninety‐nine participants with positive results in a 50‐g glucose challenge test were recruited in a medical center in southern Taiwan. A repeated measures study was conducted; measurements were made at 28 weeks of pregnancy, and 1 week, 6 weeks, 6 months, and 1 year after childbirth. The Social Support Scale, the Perceived Stress Scale, the Taiwanese Depression Questionnaire, and the Chinese Health Questionnaire were used. Results: Compared with hyperglycemic women's depression at 28 weeks of pregnancy, significant decreases in mean depression scores were found at 1 week and 1 year postpartum. Hyperglycemic women's health status improved at 6 months and 1 year postpartum. Depression significantly predicted hyperglycemic women's perinatal health status. Linking Evidence to Action: Stress and depression are associated with perinatal health status in hyperglycemic women. Healthcare providers should more closely assess stress and depression levels in hyperglycemic women from pregnancy to 1 year postpartum. Interventions promoting the psychological well‐being of hyperglycemic women are required.