week 2.2 DQ response 3

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PICOT discussion question

Neesha Tamrakar posted May 13, 2020 10:09 AM

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Implementing a regular physical activity in high-risk women populations including a pregnant woman with gestational diabetes (GDM) will improve blood sugar level and reduce the risk of developing Type II DM.
Introduction
Gestational diabetes (GDM) is one of the foremost common complications of pregnancy because of hormonal changes which will affect both mother and baby’s health. Maintaining a BS can prevent difficult delivery and reduces the risk of developing type II DM. One in twenty-five pregnancies is affected by GDM worldwide (Pinidiyapathirage, 2018). Adhering to regular physical activity will reduce the danger of developing GDM and type II DM during and after pregnancy, respectively. Education and follow up isn’t enough unless women are self-efficient to motivate themselves.
In the other hand, Sociocognitive and socio-cultural factors can influence in women health. Socio cognitive factor includes taking care of self while participating in caring of baby, family, and self can influence in adhering to physical activities and healthy lifestyle in reducing BS level. A woman could also be affected by sociocultural factors. Such as having to attend in gathering, showering invitations for the upcoming baby, members of family forcing to eat high carb diet for healthy birth are some influencers which will affect negatively. According to the Journal of Diabetes Nursing, some women’s expressed fear of negative comments and feelings about being ashamed about having GD. These findings suggest that counseling sessions for women with GD and their family members may be an important component of diabetes educational programmers.
Therefore, Physical activity during pregnancy has been associated with minimizing risk and will help in improving glucose metabolism along with positive socio-cultural and socio-cognitive influencers.
PICOT
P (patient population) = High-risk women populations including a pregnant woman with gestational diabetes mellitus (GDM)
I (intervention or issue of interest) = Implementing a regular physical activity by including planning strategies and enhancing self-efficiency.
C (comparison intervention or issue of interest) = socio-cognitive and sociocultural approach to women’s health behavior.
O (outcome) = Reduction and prevention of type II Diabetes Mellitus in high-risk women along with the history of GDM.
T (time frame) = 8 months.
GDM is a common problem arising because of a lack of education and support and may be considered a vital topic. When a woman is healthy, she will support her child and her family so because of all the above reasonings I believe it is important to conduct more research. As future NP it is important on behalf of me to understand the physio dynamics and other influential factors in women’s health to improve health education.

References
Pinidiyapathirage, J., Jayasuriya, R., Cheung, N. W., & Schwarzer, R. (2018). Self-efficacy and planning strategies can improve physical activity levels in women with a recent history of gestational diabetes mellitus. Psychology & Health, 33(8), 1062–1077. https://doi.org/10.1080/08870446.2018.1458983
Wazqar D.Y., Evans K. M., (2012). Socio-cultural aspects of self-management in gestational diabetes. Journal of Diabetes Nursing Vol 16 Retrieved May 13, 2020 from https://www.canadianjournalofdiabetes.com/article/S1499-2671(15)00129-X/abstract