فهرست نشریات علمی دسترسی آزاد ایران

INTRODUCTION: Gestational diabetes is the most common metabolic disorder in pregnancy, andlack of self‑care is the most important reason for mortality in diabetic patients. Since the glycemiccontrol is associated with physiological and psychological mechanisms, variables such as healthlocus of control can play a role in health behaviors of diabetic patients. Therefore, this study wasaimed to predict self‑care behaviors among women with gestational diabetes based on maternalhealth locus of control (MHLC) and fetal health locus of control (FHLC).METHODS: This study is a descriptive, predictive correlational study that it is conducted onover 400 women with gestational diabetes attending the health centers and clinic of hospitalsaffiliated to Mashhad University of Medical Sciences in 2015. Data were collected using individualquestionnaire, self‑care derived from the summary of diabetes self‑care activities, MHLC, and FHLCscale. The data were analyzed using Spearman’s correlation coefficient test, linear regressionsmodel, and multiple regression in SPSS software version 16. P < 0.05 was considered statisticallysignificant.RESULTS: Results of Spearman’s correlation coefficient test showed a significant direct linearrelationship between self‑care and internal MHLC (P = 0.027) and internal dimensions (P < 0.0001)and powerful others (P = 0.012) of FHLC. According to linear regressions model, internalMHLC (P = 0.027), internal dimensions (P < 0.0001), and powerful others (P = 0.012) of FHLC areconsidered as predictor variables of self‑care.CONCLUSION: Midwives should perform interventions to increase internal locus of control andencourage more responsibility among women with gestational diabetes to achieve better self‑care.