The Effect of couples supportive counseling on self-care and blood sugar level in pregnant women with gestational diabetes

The effect of Couple Supportive counseling on Self-Care and blood suger Level in Women with Gestational Diabetes

Clinical trial with community-based and pragmatic control group, with parallel groups, blind, randomized, with a sample size of 72

72 pregnant women refered to the diabetes mellitus clinic of Umm al-Banin Hospital in Mashhad, with a gestational age of 26-30 weeks with type A2 gestational diabetes, and having access to the study with their spouses, in three separate sessions of supportive counseling for each Couples are done. Sampling is easy and accessible, and the distribution of the two groups is randomized, the person allocating individuals to the groups is blinded. After obtaining informed consent, coordination is required for conducting the tests, and holding the meetings

Iranian nationality; type A2 gestational diabetes; written informed consent; Husband's willingness to study; stay in Mashhad; access to telephone; minimum fifth grade elementary education; not verbal communication; couples not employed in hospital; tobacco use And alcohol; lack of mental disorders; gestational age of 26-30 weeks based on first trimester ultrasound or accurate LMP; lack of obesity before pregnancy (BMI≥30); lack of medical illness; high risk pregnancy and corticoid use; Lack of stressful incidents in the last 6 months

In the intervention group, three counseling sessions are held with the husbands of the research units for three consecutive weeks each week for 60 minutes using an emotion evacuation approach, supporting coping strategies, problem solving, and practical guidance. The control group will also receive the usual training for gestational diabetes

Self-care scores, fasting blood glucose and two hours after food and insulin consumption

- Randomized Method: Blocked Block. - Random unit: Individual. - Randomization Tool: Random Number Tables using www.randomization.com, Packet Envelopes, Statistical Software. - How to create a random sequence: For this method, firstly, the size of each specified block (for example, the quadruple block). Then write the blocks list and assign them numbers (AABB (1) - ABAB (2) -ABBA (3) -BBAA (4) - BABA (5) - BAAB (6)) Then select random numbers between one to six (E.g., 1 4 5, etc.) and finally determine the allocation allocation based on random numbers (... AABB-BBAA-BABA-).. - Explanation about the concealment concealment method: The envelope method is that envelopes are prepared and printed by a member of the research team and random numbers with the help of the Randomaize.com site and inside the envelope. The door packs will be closed and its contents are not visible from the outside. Then, the purpose of the study is explained to the person who follows the conditions, and the person, if desired, signs the informed consent form and removes an envelope, then opens it and, based on the contents of the envelope, enters into the intervention or control group.

The sample allocator to groups and data analyzers are blinded in this study