Impact of Preconception Counseling Program on Knowledge, Beliefs and Self-management practices of University Female Students Having Type 1 Diabetes.
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 6
Abstract
Diabetes mellitus (DM) is now of increasing concern in the field of women’s health and is considered one of the most common preexisting medical condition complicating pregnancy. Uncontrolled diabetes is a major cause of reproductive complications which are potentially preventable by practicing effective reproductive health (RH) behaviors and encouraging preconception (PC) care. Aim of studyis to evaluate the impact of preconception counseling program on knowledge, beliefs and self-management practices of university female students having Type 1 Diabetes. A quasi-experimental research design was utilized. The study was carried out in diabetes clinic at university health insurance clinics affiliated to Damanhour University; the total sample was 110 students having type 1 diabetes. Data was collected through a self-administered questionnaire for female youth students with diabetes, and The Reproductive Health Beliefs/Attitudes and Behavior (RHAB) questionnaire. A total of 110 female students participated in this study, the age of the students ranged from 18 - 24 yrs. Morethan half of the study subjects (54.55%) were mainly non-medical and half of the sample (50.0%) were of middle socioeconomic status.It was surprisingly, that less than three quarters of students at intervention group before program implementation had poor levels of practices compared to one fifth (20.0%) at 3 months after program implementation. More than half of the students stated friends as the main sources of their knowledge aboutpreconceptioncare.Conclusion: students had knowledge gaps regarding risks and pregnancy planning with diabetes and a minority had sought PC counseling. The preconception counseling program had positive impacts on knowledge, beliefs and self-management practices of female students having Type 1 Diabetes. Recommendations: firstly, raising public awareness through national and social media to shed the light on and PC care benefits for young people, aiming to promote health and increase community awareness of the impact of PC care on maternal, newborn and child health outcomes, and secondly, empower female youth through PC counseling to make informed choices regarding their and future pregnancy.
Authors and Affiliations
Enas Mohamed Ibrahim, ReemBassiouny Mahmoud El Lassy, Amal Youssef Abd El Wahed
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