Attitudes and Beliefs of African American women after Gestational Diabetes Mellitus
Background
Gestational diabetes mellitus (GDM), defined as any degree of glucose intolerance with onset or first recognition during pregnancy, is the most common
metabolic disorder of pregnancy ( and , 2002, ). People with glucose intolerance have blood glucose levels that are consistently above normal because they do not have enough insulin or they can not properly use the insulin they have. Insulin, hormone produced by the pancreas, allows cells to take glucose from the blood, so it can be used for energy (, 2005). Approximately 7 percent of pregnancies are complicated by GDM, with prevalence estimates ranging from 2 percent to 14 percent (, 2004). The variation in rates can in part, be attributed to the number of differing criteria that are used in diagnosing GDM; including guidelines published by the American Diabetes Association, World Health Organization, National Diabetes Data Group and the Carpenter and Coustan criteria (, 2003).
Rationale
The core rationale is the indication, recognition and assessment of diagnosis of gestational diabetes mellitus as pregnant women are routinely screened for GDM around 24-28 weeks of pregnancy. While there is currently no consensus on the guidelines to use for screening patients, it appears that some type of screening for GDM is practiced by most prenatal care health practitioners (, 2003,, 2003). The National Diabetes Data Group serves as the major Federal focus for the collection, analysis, and dissemination of data on diabetes and its complications and lay individuals to better understand diabetes (, 2005).
Method
The applied research project is appropriate as such semi structured interview method applies for this research study and survey technique is more desirable for this research investigation and will be in qualitative assimilation. The interview can be just in simple undertaking, to interview about 5-10 African American women in Gainesville Florida, Univer of Florida, Women’s Clinic and asking respondents several questions such as the following: What was your attitude and beliefs towards knowing your diagnosis of gestational diabetes? Did you adhere and follow to dietary and insulin medication for your diabetes? How did you feel about your diagnosis before and after your pregnancy? The sample format and statements below can be applied in the study and will be the founding basis of data analysis and research outcomes as one important factor for the completion and finalization of the study.
No
STATEMENTS
1
The attitudes, whether disapproving or approving, and practices of husband, partners, and family members were very important influences on the attitudes and practices
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2
Positive attitudes toward women’s physical activity in the community and social support from partners, other family members, friends are important influences on health related behavior
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3
Fear of appearing to be sexually available a reason given for not engaging in recreational activity, particularly alone outside home
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No
STATEMENTS
1
Beliefs about causes of diseases as diabetes, personal susceptibility, modifiability of risk, including cognitive links between physical activity and disease, may influence women’s motivation to undertake new activities
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Women believe diabetes as primarily related to heredity and diet but not to physical activity
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Exercise reduce stress and improve general health
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5
Research questions
What is meant by Gestational Diabetes Mellitus? How is it manifested in pregnant women? Elaborate several diagnosis of such gestational diabetes are as backed up with literature and several studies?
How gestational diabetes occur in African American women? Provide stats and prevalence of gestational diabetes as experienced by the latter and women in general
What are some attitudes and beliefs of women regarding gestational diabetes? Support the question with first hand and direct information through survey interviews
What are the ways and how gestational diabetes be prevented in accordance to attitudes and beliefs to be known about? Explain
Significance
The research will be significant to health care workers such as nurses and clinicians who can responsible for the women care upon post pregnancy cases of gestational diabetes mellitus thus, significant to academic authorities and students being part of the medical profession mostly those that caters to gestational diabetes care and management. For future research purposes, can serve as one good material for reference and other relative matters.
References
Credit:ivythesis.typepad.com
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