Purpose: The purpose of this study was to investigate the effects of using a Coaching Program on Comprehensive Lifestyle Modification with pregnant women who have gestational diabetes. Methods: The research design for this study was a non-equivalent control group quasi-experimental study. Pregnant women with gestational diabetes were recruited from D women's hospital located in Gyeonggi Province from April to October, 2013. Participants in this study were 34 for the control group and 34 for the experimental group. The experimental group participated in the Coaching Program on Comprehensive Lifestyle Modification. The program consisted of education, small group coaching and telephone coaching over 4weeks. Statistical analysis was performed using the SPSS 21.0 program. Results: There were significant improvements in self-care behavior, and decreases in depression, fasting blood sugar and $HbA_1C$ in the experimental group compared to the control group. However, no significant differences were found between the two groups for knowledge of gestational diabetes mellitus. Conclusion: The Coaching Program on Comprehensive Lifestyle Modification used in this study was found to be effective in improving self-care behavior and reducing depression, fasting blood sugar and $HbA_1C$, and is recommended for use in clinical practice as an effective nursing intervention for pregnant women with gestational diabetes.
임신 중 양수과다증, 자간전증, 요로 감염, 난산으로 인한 산도손상 등의 산과적 합병증을 일으킬 뿐 아니라, 출산 후에는 10~45%가 현성 당뇨병으로 진행
임신성 당뇨는 임부에게는 임신 중 양수과다증, 자간전증, 요로 감염, 난산으로 인한 산도손상 등의 산과적 합병증을 일으킬 뿐 아니라, 출산 후에는 10~45%가 현성 당뇨병으로 진행되며, 또한 신생아에게는 출생 후 저혈당증, 고빌리루빈 혈증, 신경손상 등 주산기 합병증을 유발하며 장기적으로는 소아 비만과 당뇨병의 위험을증가시키게되므로,임신성당뇨임부의혈당관리가매우중요하다.
1단계는 코칭이슈를 명료화하는 목표설정 단계(Goal), 2단계는 현재의 상황을 확인하는 현실파악 단계(Reality), 3단계는대안 탐색 단계로 목표에 이르지 못하는 장애요인을 찾고(Obstacles), 가능한 대안을 탐색하거나 다른 전략 혹은 행동계획을 파악하는 단계로(Option), 여러 대안 중에서 근본적이고도 현실적인 대안을 찾아 구체적인 행동계획을 수립하는 단계이다. 4단계는 실천의지 다지기 단계로 언제, 무엇을, 어떻게 하겠다는 의지(Will)를 확인하여 행동 변화를 가져오게 하는 단계로 구성되어 있다
GROW 코칭에서는 대상자인 피코치가 자기 주도적으로 목표를 설정하고 행동변화를 통해 목표를 달성할수 있도록 코치가 돕는 과정으로 4단계로 구성되어 있다. 1단계는 코칭이슈를 명료화하는 목표설정 단계(Goal), 2단계는 현재의 상황을 확인하는 현실파악 단계(Reality), 3단계는대안 탐색 단계로 목표에 이르지 못하는 장애요인을 찾고(Obstacles), 가능한 대안을 탐색하거나 다른 전략 혹은 행동계획을 파악하는 단계로(Option), 여러 대안 중에서 근본적이고도 현실적인 대안을 찾아 구체적인 행동계획을 수립하는 단계이다. 4단계는 실천의지 다지기 단계로 언제, 무엇을, 어떻게 하겠다는 의지(Will)를 확인하여 행동 변화를 가져오게 하는 단계로 구성되어 있다. 이 4단계를 통하여 본인이 주어진 현실에서 대안을 찾고 실행하여 본인이 설정한 목표를 달성할 수 있도록 도와주는 가장 간단하고 유용한 모델이다.
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