Effects of Telerehabilitation Exercise Program on Psychological Health and Delivery Outcomes in Women With Gestational Diabetes Mellitus.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 62
- 试验地点
- 4
- 主要终点
- Strait trait anxiety inventory (STAI)
研究概览
简要总结
Gestational diabetes occurs when the body can't make enough insulin to manage high blood sugar during pregnancy, usually developing between the 24th and 28th weeks. It affects about 14% of pregnancies worldwide. Women with gestational diabetes often feel more anxious and stressed and have a higher risk of depression during and after pregnancy. This study will explore how telerehabilitation can reduce anxiety and depression and show how exercise can improve the health of pregnant women with gestational diabetes.
详细描述
The diagnosis of GDM can be unexpected and distressing, leading to feelings of sadness and hopelessness.Women with GDM are at a higher risk of experiencing prenatal and postnatal depression, which can affect their overall well-being and ability to care for their newborn. Regularly checking blood sugar levels, changing diet, and possibly using medication or insulin can be overwhelming. This constant effort and worry about complications can cause a lot of anxiety and stress. Many pregnant women with GDM might not fully understand how exercise can help control their blood sugar levels and improve their overall well-being. Developing a positive attitude towards exercise is important for helping people with gestational diabetes manage their condition effectively through physical activity. The use of telerehabilitation may improve psychological symptoms in participants with GDM.
The control group will receive routine medical care and the experimental group will receive structured telerehabilitation exercise protocol. The results of both groups will be recorded and compared to assess the effectiveness of using telerehabilitation in the treatment of women with GDM in improving psychological health.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Women aged 20 to 35 years
- •Gestational age between 20-28weeks
- •diagnosed with Gestational diabetes mellitus through oral glucose tolerance test (OGTT)
- •Primigravida and multigravida
- •able to do 6 6-minute walk tests under a severity level of 6 on the Borg scale of breathlessness.
- •Patients or caregivers have and able to use an electronic device (PC, tablet or smartphone)
- •Who signed informed consent
排除标准
- •Previously diagnosed T1DM or T2DM
- •High-risk pregnancy conditions contraindicating exercise as per ACOG guidelines
- •Patients taking insulin regularly.
- •Patients with fetal anomalies diagnosed at 20 th week.
- •Multiple gestation (twin or triplets).
结局指标
主要结局
Strait trait anxiety inventory (STAI)
时间窗: changes from baseline to 8th week
It is a psychological inventory consisting of 40 self-report items on a 4-point Likert scale.The total score ranges from 0-63.The following guidelines are recommended for the interpretation of scores: 0-9, normal or no anxiety; 10-18, mild to moderate anxiety; 19-29, moderate to severe anxiety; and 30-63, severe anxiety.
Center of Epidemiologic studies depression scale (CES-D)
时间窗: changes from baseline to 8th week
The CES-DC is an inventory of 20 self-report items regarding depressive symptoms, taking about 5 minutes to completeIn scoring the CES-D, a value of 0, 1, 2 or 3 is assigned to a response depending upon whether the item is worded positively or negatively.Possible range of scores is 0 to 60, with the higher scores indicating the presence of more symptomatology.
次要结局
- Incidence of instrumental delivery(At the time of delivery)
- Time of delivery(At the time of delivery)
- Mode of delivery(At the time of delivery)
- Incidence of shoulder dystocia(At the time of delivery)