Sherri Garber Mendelson, Donna McNeese-Smith, Deborah Koniak-Griffin, Adeline Nyamathi, Michael C Lu
Journal: Journal of obstetric, gynecologic, and neonatal nursing : JOGNN 2008;37(4):415-25
PMID: 18754979
OBJECTIVE
To examine the effects of a Parish Nurse Intervention Program (PNIP) on maternal health behaviors, glycemic control, and neonatal outcomes among Mexican American women with gestational diabetes.
DESIGN
A randomized controlled trial comparing care as usual (CAU) with a supplementary 1-hour education session for diabetes education reinforcement by a Parish Nurse.
SETTING
An outpatient treatment clinic for gestational diabetes within a 250-bed tertiary care, non-profit hospital with a Parish Nurse partnership.
PARTICIPANTS
One hundred Mexican American women were included in the study with randomization into Parish Nurse Intervention Program (n=49) and care as usual (n=51) groups.
MAIN OUTCOME MEASURES
The Health Promoting Lifestyle Profile II (HPLP II) and two measures of glycemic control pre- and post-intervention, as well as newborn size, and days of maternal and neonatal hospitalization.
RESULTS
Outcomes indicate significantly improved Health Promoting Lifestyle Profile II scores in the Parish Nurse Intervention Program group post-intervention compared with the Care As Usual group. No significant differences between groups regarding glycemic control, macrosomia, or days of maternal or neonatal hospitalization were found.
CONCLUSIONS
A Parish Nurse Intervention Program for pregnant women of Mexican descent with gestational diabetes is effective in leading to improved self-reported health promoting behaviors.
Research Materials:
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