Abstract

Background: Diabetes is one of the most common medical problems during the ‎pregnancy, resulting in harmful effects on fetuses, infants and mothers. Many of the ‎problems of diabetic people are caused by unhealthy lifestyle. Thus, in order to control ‎the disease and reduce its complications, modification of the lifestyle is necessary. In ‎the present study, the effect of collaborative care on blood glucose and lifestyle in ‎women with gestational diabetes referring to the clinics of Hamadan Health Centers in ‎‎2018-2019 was evaluated. ‎Methods: This study was a clinical trial conducted with pre-test and post-test on 60 ‎women with gestational diabetes in Hamadan during 2017-2018. The samples were ‎divided into two groups of experimental (n = 30) and control (n = 30) through the even ‎and odd numbers. Data were collected by a two-section questionnaire including ‎demographic characteristics and health promoting lifestyle questionnaire with 52 items ‎in two stages of before the intervention and after the intervention. Intervention in the ‎experimental group started with the therapeutic collaborative program since the week ‎‎24-28 in group and in the 5 sessions. Finally, the data were statistically analyzed‎‏.‏ Results: The research population included 60 women with gestational diabetes with a ‎mean age of 32.72 years. The subjects in the experimental and control groups were ‎homogeneous in terms of demographic characteristics (P-value >0.05). There was no ‎significant difference between two groups in terms of blood glucose before the ‎intervention (P <0.05). Blood glucose decreased significantly in both groups (P-value ‎‎<0.05). After intervention, blood glucose level in the experimental group was ‎significantly lower than that of the control group (P-value <0.05). The total score of ‎health promoting behaviors increased significantly after intervention in the experimental ‎group (P-value <0.05). However, no significant difference was seen in the control group ‎‎(P-value <0.05).‎ Conclusion: Educational intervention based on the collaborative care method improved ‎health promoting lifestyle in women with gestational diabetes. Lifestyle modification ‎decreased blood glucose level in patients‎‎.