Development of Family-Centered Nursing Service System for Glycemic Control in Pregnant Women with Gestational Diabetes Mellitus Class A1

  • สุมิตรา คำประเสริฐ
  • กนกพร นทีธนสมบัติ
  • กมลทิพย์ ขลังธรรมเนียม
Keywords: Gestational diabetes mellitus, family-centered, glycemic control, nursing service system, pregnant women


The main purpose of this action research was to develop the family-centered nursing service system for glycemic control in pregnant women with gestational diabetes mellitus class A1 (GDM A1). The main informants were 39 pregnant women with GDM A1, 39 family members, and 9 minor informants who were multidisciplinary team members. It was found that the family centered-nursing service system consisted of the following: assessing risk factors for diabetes in pregnant women who received the first antenatal care; advices to the pregnant women with GDM A1 and their families as detailed in the manuals and medical records for reviewing at their homes; blood glucose levels monitoring for the pregnant women with GDM A1 by FBS and 2hrPP tests every time they came to the examination appointment; monitoring system during childbirth and postnatal periods by visiting the mothers and infants at ward as well as data recording; and monitoring system during postpartum period for 6 weeks by 75g-OGTT. The satisfaction of pregnant women with GDM A1 and their families on the nursing service system was at a high level. The multidisciplinary teams were satisfied and proud   with the improved nursing service system.


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