Factores psicosociales asociados con la diabetes mellitus gestacional: Revisión sistemática de alcance

sara concepcion maury mena; Juan Carlos Marín-Escobar; Antolín Maury; Andrea Carolina Marín-Benítez

doi:10.19136/hs.a21n3.4737

Authors

sara concepcion maury mena University, Faculty and Department: Researcher, Fundación Vida Nueva-Mayor of Barranquilla, Barranquilla, Colombia. https://orcid.org/0000-0002-1181-6377
Juan Carlos Marín-Escobar author https://orcid.org/0000-0002-5244-7328
Antolín Maury (Universidad, Facultad y Departamento): DNP, APRN, GNP-C, Associate Senior Faculty Benjamín León - Miami-Dade College, School of Nursing, Miami, Florida, Estados Unidos. https://orcid.org/0000-0002-2673-4657
Andrea Carolina Marín-Benítez (University, Faculty and Department): Secondary education teacher, Ministry of Education of Colombia https://orcid.org/0000-0002-2517-3296

DOI:

https://doi.org/10.19136/hs.a21n3.4737

Abstract

Objective: To carry out a systematic review of scope on the psychosocial factors associated with gestational diabetes mellitus (GDM) to improve preventive interventions, avoid its complications and improve the quality of life of pregnant women.

Materials and methods: A systematic review was carried out based on the PRISMA methodology in PubMed/Medline and Cochrane databases on studies of psychosocial factors in pregnant women, older than 18 years, with a diagnosis of GDM, published in the period 2010 to 2020. , in peer-reviewed journals in any language. Data extraction was done using a standardized form.

Results: The search yielded 1787 articles, of which 102 were selected according to inclusion criteria. The main themes were found: conflicts with cultural practices, social stigma, influence of ethnicity/race, low educational level, quality of sleep, physical limitations, problems with breastfeeding, concern for one's own health/baby, low perception of the risk of GDM and DM2 in the future, stress/anxiety/depression, limited knowledge about GDM, lack of partner/family/social support, low levels of self-care/self-efficacy in glycemic control, lack of support from health professionals and Difficulty with lifestyle changes.

Conclusions: The identified psychosocial factors should be integrated into existing prevention and promotion programs or new interventions. Interventions should not terminate pregnancy if the risk of developing DM2 after delivery is taken into account. The needs of multi-ethnic populations and demographically and socioeconomically vulnerable groups need to be addressed. Psychosocial factors associated with GDM should also be included in the development of future Clinical Practice Guidelines.

Keywords: Gestational diabetes mellitus; Risk factor's; Prevention; Health promotion; Revision.

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Author Biographies

sara concepcion maury mena, University, Faculty and Department: Researcher, Fundación Vida Nueva-Mayor of Barranquilla, Barranquilla, Colombia.

Psychologist, Specialist in Organizational Communication, Doctor in Educational Sciences. Master candidate in Research Methods in Education at the University of La Rioja in Madrid, Spain. Recent publications: Maury Mena, S. C., Marín Escobar, J. C., Ortiz Padilla, M., & Gravini Donado, M. (2018). Generic competencies in higher education students. Espacios Magazine, Vol. 39, no. 15, pp. 1-12. Marín Escobar, Juan Carlos, Maury Mena Sara Concepción, Maury Romero, Diego, Pacheco Gutiérrez Eileen (2017). Relationship between emotional intelligence and prosocial behavior. Book Chapter: Education, Development and Social Representations. Caribbean Interdisciplinary Studies, Simón Bolívar University and CECAR Caribbean University Corporation.
Juan Carlos Marín-Escobar, author

Colciencias Associate Researcher. Research professor Grupo Sinapsis Educativa y Social, Simón Bolívar University of Barranquilla, Colombia. Recent publications: Marín-Escobar Juan Carlos (2015). Community psychosocial processes: a comprehensive view. Chapter of the book Nuances and horizon of research in Social Work. Aguilar Caro et al, Ed. Simón Bolívar University. Marín J, Marín A, Palacio J & López L (2017) Violence, aggression and peace dialogues: divided attitudes of Barranquilla university students “Contributions to educational quality from research” Ediciones Universidad Simón Bolívar, pp. 15-58.
Antolín Maury, (Universidad, Facultad y Departamento): DNP, APRN, GNP-C, Associate Senior Faculty Benjamín León - Miami-Dade College, School of Nursing, Miami, Florida, Estados Unidos.

DNP, APRN, GNP-C, Associate Senior Faculty Benjamín León - Miami-Dade College, School of Nursing, Miami, Florida, United States.
Andrea Carolina Marín-Benítez, (University, Faculty and Department): Secondary education teacher, Ministry of Education of Colombia

Environmental engineer, Master in watershed management, specialization in pedagogy and teaching. Recent publications: Marín J, Marín A, Palacio J & López L (2017). Violence, aggression and peace dialogues: divided attitudes of Barranquilla university students “Contributions to educational quality from research” Ediciones Universidad Simón Bolívar, pp. 15-58.