ERZURUM İLİ EĞİTİM TİPİ AİLE SAĞLIĞI MERKEZLERİNE BAŞVURAN GEBELERİN GESTASYONEL DİYABET TARAMASI İÇİN YAPILAN ORAL GLUKOZ TOLERANS TESTİNE YÖNELİK TUTUM VE DAVRANIŞLARININ İNCELENMESİ


Thesis Type: Expertise In Medicine

Institution Of The Thesis: Ataturk University, Tıp Fakültesi, Dahili Tıp Bilimleri, Turkey

Approval Date: 2021

Thesis Language: Turkish

Student: MUHAMMED FURKAN AKINCIOĞLU

Principal Consultant (For Co-Consultant Theses): Suat Sincan

Consultant: Muhammet Furkan Akıncıoğlu

Abstract:

Investigation of Attitudes and Behaviors of Pregnant Women Applying to Erzurum Education Family Health Centers regarding Oral Glucose Tolerance Test Performed for Gestational Diabetes Screening Introduction and Aim: Gestational diabetes mellitus (GDM) is a hyperglycemic condition that occurs mostly in the 2nd or 3rd trimester of pregnancy and is diagnosed primarily during pregnancy. GDM affects about 2-5% of pregnant women and can cause severe complications for the mother and the baby if not diagnosed early and treated appropriately. The oral glucose tolerance test (OGTT) is the only diagnostic method with proven reliability in the diagnosis of GDM. The Society of Endocrinology and Metabolism of Turkey (TEMD) recommends all pregnant women be screened with OGTT between the 24th-28th weeks of gestation to diagnose GDM. Guiding pregnant women in these weeks for OGTT is among the primary responsibilities of family physicians. In recent years, there is a belief that OGTT is harmful to the mother and the fetus. Therefore, the rate of ordering OGTT is decreasing day by day. It is thought that false and unscientific information on visual, written, and social media causes this belief about OGTT. This study aimed to survey pregnant women who applied to Erzurum Education Family Health Centers regarding OGTT and GDM knowledge, their preference for having OGTT, and the factors affecting these preferences. Methods: Pregnant women who applied to five Education Family Health Centers, which serve under Atatürk University Faculty of Medicine, Department of Family Medicine, between June 2019 and July 2020, were included in the study. Of the 122 pregnant women who were informed about the investigation, those who accepted to participate and met the inclusion criteria constituted the study. A questionnaire was prepared by examining the previous research and administered by face-to-face interviews. The questionnaire included questions about OGTT, GDM, and sociodemographic characteristics. The IBM SPSS 22.0 program was used to analyze the data. A p-value <0.05 was considered statistically significant. xiii Results: When the data were analyzed, 60.7% of the pregnant women thought that they had sufficient information about GDM, 52.5% thought they had adequate knowledge about possible complications of GDM, 57% thought they had enough information about OGTT, 74% did not have OGTT performed, 63.9% did not consider getting OGTT, and 68.9% believed that OGTT should not be done. The reasons expressed why OGTT should not be performed were as follows: they heard from television that it is harmful (60.7%), they heard from their surroundings that it is risky (50%), accepted the internet and social media comments (35.7%), and received no recommendation by their doctor (33.3%). It was determined that those with low monthly income had lower rates of OGTT. In the early weeks of pregnancy, pregnant women were prone to think that they did not have sufficient information about GDM and OGTT. It was determined that pregnant women with low education levels think that OGTT should not be done because it is not beneficial. Conclusion: GDM, which can cause serious complications for the mother and the baby, is one of the most essential public health problems, and its incidence is gradually increasing. The majority of pregnant women do not want to have OGTT. The data showed that incorrect and unscientific statements in the media, inaccurate information obtained from the environment, the healthcare professionals not having sufficient information about the subject, or not being able to convey the correct information appropriately have a significant effect on OGTT ordering rates. To prevent negative opinions about OGTT, visual, written, and social media should be audited by the relevant institutions, and, if necessary, legal sanctions should be applied. If media organizations broadcast on such issues, speakers should be selected from the primary authorized persons. Furthermore, policies need to be developed to ensure that all pregnant women, women of reproductive age, and healthcare professionals are adequately and sufficiently trained on GDM and OGTT. Keywords: GDM, OGTT, Media, Pregnancy, Diabetes