Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group.
OBJECTIVE
To evaluate the retention of information after participation in multidisciplinary group in patients with gestational diabetes mellitus (GDM) through a phone contact.


METHODS
122 pregnant women diagnosed with gestational diabetes were included. After diagnosis of gestational diabetes, the patients were referred to the multidisciplinary group where they received medical, nutrition and nursing guidelines related to the disease. After three days these patients received one telephone call from a nurse, who made the same questions regarding the information received. In the statistical analysis, results were presented as absolute and relative frequencies.


RESULTS
Most patients 119/122 patients (97.5%) were managing to do self glucose monitoring. Twenty-one patients (17.2%) reported having difficulty performing the blood glucose, especially finger pricking. When questioning whether the woman was following the proposed diet, 24/122 (19.7%) patients said they did not; the meal frequency was not reached by 23/122 (18.9%) of the women, and forty-seven (38.5%) of the women reported having ingested sugar in the days following the guidance in multidisciplinary group.


CONCLUSIONS
Regarding the proposed treatment, there was good adherence of patients, especially in relation to blood glucose monitoring. As for nutritional control, we observed greater difficulty in following the guidelines demonstrating the need for long-term monitoring, as well as further clarification to the patients about the importance of nutrition in diabetes management.
Universidade de São Paulo, Universidade de São Paulo, Faculdade de Medicina, Department of Gynecology and Obstetrics, São Paulo SP , Brazil, MSc in Science and Health, Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
Ana Maria da Silva
AM
Sousa
Universidade Anhembi Morumbi, Universidade Anhembi Morumbi, São Paulo SP , Brazil, Medical Student, Universidade Anhembi Morumbi, São Paulo, SP, Brazil.
Daine
D
Fiuza
Universidade de São Paulo, FMUSP, Hospital das Clínicas, Fetal Medicine Division, São Paulo SP , Brazil, Assistant Physician at the Fetal Medicine Division of Hospital das Clínicas, FMUSP, São Paulo, SP, Brazil.
Fernanda Cristina Ferreira
FC
Mikami
Universidade Anhembi Morumbi, Universidade Anhembi Morumbi, Escola de Ciências da Saúde, São Paulo SP , Brazil, PhD from FMUSP - Academic Director, Escola de Ciências da Saúde and Escola de Medicina da Universidade Anhembi Morumbi, São Paulo, SP, Brazil.
Karen Cristine
KC
Abrão
Universidade de São Paulo, FMUSP, Department of Gynecology and Obstetrics, São Paulo SP , Brazil, Habilitation (BR: Livre-docência) from FMUSP - Associate Professor of Obstetrics, Department of Gynecology and Obstetrics, FMUSP, São Paulo, SP, Brazil.
Rossana Pulcineli Vieira
RP
Francisco
Universidade de São Paulo, FMUSP, Department of Gynecology and Obstetrics, São Paulo SP , Brazil, Full Professor of Obstetrics, Department of Gynecology and Obstetrics, FMUSP, São Paulo, SP, Brazil.
Marcelo
M
Zugaib
D015190:Blood Glucose Self-Monitoring / Q000706:statistics & numerical data; D002196:Capillaries; D016640:Diabetes, Gestational / Q000517:prevention & control*; D003927:Diet, Diabetic / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D010349:Patient Compliance / Q000706:statistics & numerical data*; D010353:Patient Education as Topic / Q000379:methods*; D011247:Pregnancy; D012153:Retention, Psychology; D011795:Surveys and Questionnaires