Replication Data for: Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review

Purpose: This study aimed to analyze the content and effectiveness of psychosocial support interventions for women with gestational diabetes mellitus (GDM). Methods: This systematic review searched the following databases without limiting time periods: Ovid-MEDLINE, Cochrane Library, Ovid-EMBASE, CINAHL, PsycINFO, NDSL, KoreaMed, RISS, and KISS. Two investigators independently reviewed and selected articles according to the predefined inclusion/exclusion criteria. For study quality evaluation, ROB 2.0 and RoBANS 2.0 checklist were used. Results: Based on the 14 selected studies, psychosocial support interventions were provided for the purpose of 1) informational support (including GDM and diabetes mellitus information, how to manage diet, exercise, stress, blood sugar, and weight, postpartum management, and prevention of type 2 diabetes mellitus (T2 DM)); 2) self-management motivation (setting a goal for management while checking diet and exercise management, glucose monitoring, and enhancing positive health behaviors.); 3) relaxation (practicing breathing and/or meditation); and 4) emotional support (sharing opinions and support). Psychosocial supportive interventions to women with GDM affect increased behavioral change, mostly in the form of self-care behavior; they also reduce depression, anxiety and stress, and have an impact on improving self-efficacy. It contributes to lowering physiological parameters such as fasting plasma glucose, glycated hemoglobin, and 2 hours postprandial glucose. Conclusion: Psychosocial supportive interventions can indeed positively affect self-care behaviors, lifestyle changes, and physiologic parameters in women with GDM. Nurses can play a pivotal role in integrative management and can streamline the care for GDM women during pregnancy and following birth, especially through psychosocial support interventions.

研究目的：本研究旨在分析妊娠糖尿病（gestational diabetes mellitus, GDM）女性的社会心理支持干预的内容与效果。
研究方法：本系统评价检索了以下数据库且未设置时间限制：Ovid-MEDLINE、Cochrane Library、Ovid-EMBASE、CINAHL、PsycINFO、NDSL、KoreaMed、RISS及KISS。两名研究者按照预先设定的纳入/排除标准独立审阅并筛选文献。研究质量评估采用ROB 2.0与RoBANS 2.0量表。
研究结果：基于纳入的14项研究，针对GDM女性的社会心理支持干预涵盖四大目标：1）信息支持：包括GDM与糖尿病相关知识、饮食管理、运动、压力、血糖与体重管理、产后管理及2型糖尿病（type 2 diabetes mellitus, T2DM）预防知识；2）自我管理动机激发：在监控饮食、运动管理及血糖监测的过程中设定管理目标，并强化正向健康行为；3）放松训练：呼吸练习及/或冥想；4）情绪支持：意见交流与情感支持。此类社会心理支持干预可提升GDM女性的行为改变水平，尤以自我护理行为改善最为显著；同时可减轻抑郁、焦虑及压力症状，并对提升自我效能感具有积极作用。此外，该干预有助于降低空腹血糖、糖化血红蛋白及餐后2小时血糖等生理指标。
研究结论：综上，社会心理支持干预确实可对GDM女性的自我护理行为、生活方式改变及生理指标产生积极影响。护士可在GDM女性的整合管理中发挥关键作用，尤其可通过社会心理支持干预优化妊娠期及产后GDM女性的照护流程。