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内容与效果。 研究方法：本系统性综述未设置时间限制，检索了以下数据库：Ovid-MEDLINE、Cochrane图书馆、Ovid-EMBASE、CINAHL、PsycINFO、NDSL、KoreaMed、RISS及KISS。由两名研究者按照预先设定的纳入/排除标准独立开展文献评审与筛选工作。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主要涵盖以下四类支持目标：1）信息支持：涵盖GDM与糖尿病相关知识、饮食管理、运动调节、压力管控、血糖与体重管理、产后照护及2型糖尿病（type 2 diabetes mellitus, T2DM）预防指导；2）自我管理动机激发：通过监控饮食与运动执行、开展血糖监测，设定管理目标，强化积极健康行为；3）放松训练：包括呼吸练习及/或冥想练习；4）情绪支持：包含意见交流与情感支持。针对GDM女性的社会心理支持干预可显著促进行为改变，尤以自我护理行为改善最为突出；同时可降低抑郁、焦虑与压力水平，并对提升自我效能感具有积极作用。此外，该干预还可改善空腹血糖、糖化血红蛋白及餐后2小时血糖等生理指标。 研究结论：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。护士在整合式照护管理中可发挥关键作用，尤其可通过社会心理支持干预优化妊娠期及产后GDM女性的临床照护流程。