Explanation the Experiences of Obstetric Wards Personnel about the Factors Affecting Self-care in Mothers with Gestational Diabetes: A Qualitative Study

Abstract

Gestational diabetes is the most common metabolic disorder that causes a lot of problems for mother and infant during pregnancy and delivery. This study aimed to investigate the experiences of obstetric wards personnel about the factors affecting self-care in mothers with gestational diabetes in Rafsanjan Nik-Nafs Hospital. This study is a qualitative study and participants in this research were obstetric wards personnel of Niknafs Hospital of Rafsanjan University of Medical Sciences. The semi-structured interviews were conducted with 20 women. Purposive sampling was initiated and continued until data saturation. The average duration of each interview was about 30 minutes. All interviews were recorded and then transcribed and coded. The interviews has been done in Rafsanjan Nik-Nafs Hospital. The method of Content analysis was used to analyze the data. Perception obstetric wards personnel led to the extraction four main categories: Educational, cultural, social and managerial issues. 200 sub-categories were also classified in the main form. Educational issues, including all routine training for personnel that causes Increasing awareness, satisfaction and reduce confusion in self-care in mothers. The health workers training includes Continuing Medical Education (CME) Programs for physicians, nurses, and midwives. All information should be updated and also previous fmdings and concepts are well -established. Cultural and social issues, including the correction of lifestyle and culture through mass media including television, radio, and the press are discussed that causes people pay attention to diet and nutrition, exercise and reduce obesity and overweight, reduce stress and its complications, genetic problems, and gestational age. Management factors includes motivating Personnel through encouraging and proper evaluation and feedback, satisfaction of patients and correction of problematic laws. This study showed that participants in the promotion of quality and quantity of education says that Conclusion: This study showed that participants in the promotion of quality and quantity of education say that Correction cultural and social factors influencing, Careful planning and management factors need for mothers with gestational diabetes to improve the quality of self-care.