ความเข้มแข็งอดทน ความรู้สึกไม่แน่นอนและการเผชิญความเครียด ในสตรีที่เป็นเบาหวานขณะตั้งครรภ์ Hardiness, Uncertainty, and Coping among Pregnant Women with Gestational Diabetes Mellitus*

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ปาริชาติ วันชูเสริม จันทรรัตน์ เจริญสันติ พรรณพิไล ศรีอาภรณ์

Abstract

Coping with gestational diabetes mellitus is important for the health of pregnant women, their fetus and their newborn.  The purpose of this descriptive research was to investigate relationships between hardiness, uncertainty, and coping among pregnant women with gestational diabetes mellitus, using the model of coping by Hamilton and Lobel as a framework. The sample included 85 pregnant women who had been first diagnosed with gestational diabetes mellitus, have a gestational age of 24 weeks or above and attended the antenatal clinics of Health Promotion Region in Kalasin Hospital, Roi-Ed Hospital and Mahasalakham Hospital from  April to June 2018. The research instruments consisted of 1) the Personal Data Record Form 2) the Revised Prenatal Coping Inventory (NuPCI) reliability .87 3) the Hardiness Scale for Women with Gestational Diabetes Mellitus reliability .91 and 4) the Uncertainty in Illness Scale reliability .80. Data were analyzed using descriptive statistics, Spearman’s correlation coefficient and Pearson’s correlation coefficient.


Coping among pregnant women with gestational diabetes mellitus separate to 3 model is planning-preparation, spiritual-positive and avoidance. The results showed that Hardiness had a low positive correlation with coping by planning-preparation and coping by spiritual-positive (r = .241, p < .05 and r = .220, p < .05 respectively) and Uncertainty had a low positive correlation with coping by avoidance (r = .244, p < .05). The results indicate that  nurses  should  assessment  of  the  coping  of  pregnant women  with  gestational diabetes mellitus with regards to hardiness and  uncertainty.

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