Global Journal of Medical Research, F: Diseases, Volume 23 Issue 2

41 Year 2023 Global Journal of Medical Research Volume XXIII Issue II Version I ( D ) F © 2023 Global Journals Beliefs and Attitudes in Women with Gestational Diabetes Mellitus. A Systematic Review hardly ever ate breakfast. I have generally had bad eating habits”. In other cases, there are thoughts of these women, around the fact that it is a hereditary condition. And in several cases patients feel guilty for not having healthy habits before and during pregnancy. In fact, in the study by Hjelm et al., (2018), the influence of these psychosocial variables. African migrant women residing in Sweden were compared with women from the European country where both groups were diagnosed with GDM. It was found that women from Africa did not know what GDM was and its causes and how consequently they had a passive attitude of self-care. Coincidentally you are patients reported more pregnancy-related problems. In contrast, Swedish women had higher risk awareness, higher concern for your health and that of your baby and therefore more self-care, including the use of medications. The importance of culture is also evidenced in the research carried out in an Asian context by Ge, et al., (2016), in which It seems that a diagnosis of GDM does not cause major concerns, as it could be in western countries. Some of the women with these types of diagnoses just let nature take its course and they rely a lot on the type of food they consume. Thoughts regarding this condition are not as negative and generally believe will have a good prognosis, which makes the emotional and family effect don't be so dramatic. In the meta-analysis by Chida & Hamer (2008), in which they wanted to establish the incidence of adverse psychosocial factors with poor control of diabetes, statistically significant associations were found. This was determined through pooled correlation coefficients r = 0.096, p = 0.006). In the same sense, the lack of social support also contributes to poor control of diabetes. In the study carried out by Ansarzadeh et al., (2020), in which negative correlations between quality of life and the presence of GDM that reach -0.78, a positive correlation was found between the results obtained by the participants in the scale of knowledge, attitudes and self-care and the results obtained in social support. Patients with GDM who have the perception that they have with high levels of social support and a high level of knowledge of the pathology, tend to have positive attitudes towards their condition and generally high levels of self-care. On the other hand, the research shows that the presence of levels of anguish is correlated negatively with self-management. That is, before levels of anguish, little can the person do to contribute from their own management to leave forward in the pathology suffered. In this case the correlation is reported in -0.857. There is also a positive correlation between the level of knowledge and self-management, equivalent to 0.848. On the other hand, Park et al.,(2018), start from the assumption that breastfeeding affects positively in the metabolic regulation of women with GDM, also favoring that these pregnant patients decrease the probability of developing type II diabetes after pregnancy (Kelishadi & Farajyan, 2014; Brahm & Valdés, 2017). As has been recorded through these results, from various perspectives that articulate the research and theoretical interests of health and disease with the social sciences, we wanted to find the incidence of psychosocial variables such as attitude, motivation, personality, beliefs, among others, in the health of patients and/or in the effectiveness of medical procedures (Limonero and Bayés, 1995; Arranz et al., 2003; Mancuso et al., 2006; Pineapple Booksellers, 2012; Oblitas Guadalupe et al., 2017). Which is actually not an easy task. For example, in the research by Hussain et al., (2015), an attempt was made to explore the relationship between the attitude of patients, satisfaction with treatment and the decrease in glycemic levels in patients with GDM, which would give rise to thinking about overcoming the pathology in these women. Although there were no conclusive results, this study was able to demonstrate that the presence of negative attitudes and levels Low satisfaction with treatment correlates with high glycemic levels. There are other investigations that, although they were not developed exactly with women with GDM, are somewhat related to variables associated with the appearance of this pathology. In the work of Lindsay et al., (2019), carried out with pregnant women for the first time developing excessive body weight, it was established that These women do not know exactly what the line is between being overweight and the obesity. That is, most of the study participants did not they knew if their body weight was in the healthy range. In addition, most of the women had accepting attitudes towards their weight gain, which suggests that pregnant women have beliefs related to the fact that weight gain is normal among pregnant. On the other hand, there is also research interested in trying to modify psychosocial dimensions (habits, beliefs, lifestyles) in women diagnosed with GDM (Represas Carrera, 2021; Jelsma et al., 2016).Generally, these studies are carried out through interventions controlled. Brown et al., (2017), conducted lifestyle interventions with GDM in about 4501 women. Intervention programs included physical activity, diet, blood glucose self-monitoring, health education. Results show some very important data such as the fact that women belonging to the experimental groups have a lower probability of develop postpartum depression. Additionally, these women improve their body weight significantly. From this investigative perspective there is quite hopeful findings for psychosocial treatment, both of women with GDM, as in diabetic patients of all kinds.

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