Health science reports · 2025
The Effect of Self-Care Model Counseling Based on Mental Health on Anxiety and Depression of Women With Gestational Diabetes: A Study Protocol of a Randomized Clinical Trial.
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Daraie Mahboubeh, Adib-Rad Hajar, Nasiri-Amiri Fatemeh, Faramarzi Mahbobeh, Gholinia Hemmat, Darzi Satinik
Аннотация
BACKGROUND AND AIMS: Gestational diabetes mellitus (GDM) is the most common metabolic disorder during pregnancy that causes adverse consequences for the mother and the baby. The present study will be conducted to determine the effect of self-care model counseling based on mental health on anxiety and depression in GDM women.
METHODS: A randomized clinical trial will be conducted on pregnant women over 20 years of age who were referred to the gynecological and perinatal clinic of Amir Al-Momenin Hospital (AS) in Semnan. After random block allocation, women are divided into two mental health self-care counseling groups (42 people) and a control (42 people). The intervention group will receive six sessions of 30-45 min of individual mental health self-care counseling weekly and in the form of multimedia, which is a combination of text, audio, and video. Data were collected using the demographic-fertility characteristics checklist, the Hospital Anxiety and Depression Scale (HADS), the Psychological Self-Care Scale (PSCS), the Prenatal Health Behavior Scale (PHBS), and the Self-Efficacy Scale Gestational Diabetes (SESGD) immediately after the intervention, 1 month after the intervention, and 6 weeks after delivery.
RESULTS: The mental health self-care model is expected to lead to clinical reductions in anxiety and depression in women with gestational diabetes. It is also predicted that the effect of counseling with this model will promote health-promoting behaviors, mental health self-care, and self-efficacy in diabetic women at follow-ups immediately after the intervention, 1 month after the intervention, and 6 weeks after delivery.
CONCLUSION: The positive results of mental health self-care counseling on anxiety and depression and health behaviors, self-efficacy, and mental health self-care in GDM women will be useful strategies for managing the complications of GDM.
METHODS: A randomized clinical trial will be conducted on pregnant women over 20 years of age who were referred to the gynecological and perinatal clinic of Amir Al-Momenin Hospital (AS) in Semnan. After random block allocation, women are divided into two mental health self-care counseling groups (42 people) and a control (42 people). The intervention group will receive six sessions of 30-45 min of individual mental health self-care counseling weekly and in the form of multimedia, which is a combination of text, audio, and video. Data were collected using the demographic-fertility characteristics checklist, the Hospital Anxiety and Depression Scale (HADS), the Psychological Self-Care Scale (PSCS), the Prenatal Health Behavior Scale (PHBS), and the Self-Efficacy Scale Gestational Diabetes (SESGD) immediately after the intervention, 1 month after the intervention, and 6 weeks after delivery.
RESULTS: The mental health self-care model is expected to lead to clinical reductions in anxiety and depression in women with gestational diabetes. It is also predicted that the effect of counseling with this model will promote health-promoting behaviors, mental health self-care, and self-efficacy in diabetic women at follow-ups immediately after the intervention, 1 month after the intervention, and 6 weeks after delivery.
CONCLUSION: The positive results of mental health self-care counseling on anxiety and depression and health behaviors, self-efficacy, and mental health self-care in GDM women will be useful strategies for managing the complications of GDM.