The Effect of Model-Based PMR Training on Anxiety and Blood Sugar Levels to Women With Gestational Diabetes

This research is a randomized controlled experimental study to evaluate the effects of PMR application based on HBM in terms of blood sugar and anxiety levels in women with GDM. 34 pregnant women who applied PMR formed the "intervention group" and 34 pregnant women who did not practice PMR formed the "control group". The intervention group received "Progressive Muscle Relaxation Training". It was determined that there was a statistically significant difference between the last follow-up state anxiety score averages, and the intermediate and final follow-up trait anxiety scores between the intervention and control groups. It was determined that PMR provided a decrease in psychological anxiety levels in pregnant women with GDM, and did not have a positive effect on physiologically fasting, 1 hour postprandial and 2 hour postprandial blood glucose levels. PMR training prepared based on HBM is a method that nurses can perform independently to ensure the psychological well-being of pregnant women with GDM.

Inclusion Criteria:At least 24 weeks of pregnancy,19-45 years old (fertility period),no history of diabetes before pregnancy,First time diagnosed with GDM,Body Mass Index (BMI) at a normal level of 18.5-24.9Receiving information about diabetes nutrition during pregnancy from the SBUAEAH Diet Polyclinic.Those who do not actively participate in birth preparation classesLiterate,Do not have any barriers to prevent communication (hearing, hearing impairment, etc., use of languages other than Turkish),Residing in Antalya city centerAgreeing to blood glucose measurements by the researcherNot using complementary therapies based on mind-body techniques such as acupuncture and massage during the research.Exclusion Criteria:Having multiple pregnanciesHaving a diagnosed disease other than GDM (polyhydramnios, multiple pregnancy, pregnancy-induced hypertension, cardiac problems)It consisted of women who did not accept to participate in the research.