妊娠期糖尿病患者心理健康状况的调查研究(1)
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[摘要] 目的 探讨妊娠期糖尿病患者的心理健康状况。方法 选取来我院进行产前检查的妊娠期糖尿病患者135例作为研究组，同期在我院体检的健康孕妇135例作为对照组，焦虑评定采用状态-特质焦虑问卷和焦虑自评量表，抑郁的评定采用抑郁自评量表。结果 妊娠糖尿病组焦虑、抑郁得分均较高，但两组焦虑得分差异有统计学意义(P<0.05)；低特质焦虑组和高特质焦虑组糖化血红蛋白差异有统计学意义(P<0.05)；对妊娠糖尿病患者心理状态影响最大的因素为缺乏糖尿病相关知识。结论 妊娠糖尿病患者有明显的焦虑症状，高特质性焦虑在妊娠糖尿病患者的糖代谢控制中起着较为重要的作用，应该给予心理干预及健康教育相结合的综合治疗。
[关键词] 妊娠期糖尿病；心理健康状态；焦虑；抑郁
[中图分类号] R714.25[文献标识码] A [文章编号] 1673-9701(2011)27-08-02
Investigation and Research on Mental Health Conditions of Patients with Pregnancy Complicated with Diabetes
NI Hongxia
Department of Gynecology and Obstetrics，2nd People's Hospital of Tongxiang City in Zhejiang Province，Tongxiang 314511，China
[Abstract] Objective To study mental health conditions of patients with pregnancy complicated with diabetes. Methods The research group included 135 patients with pregnancy complicated with diabetes selected in our hospital and control group included 135 healthy pregnancies. Anxious evaluated by state-trait anxiety inventory and Self-rating Anxiety Scale(SAS). Depression evaluated by Self-Rating Depression Scale(SDS). Results Anxious score and depression score were higher in the research group，but there was significant difference in the anxious score between two groups(P<0.05)，there was significant difference in HbA1c between low trait anxiety and high trait anxiety(P<0.05). The most important factor influencing the mental conditions of patients with pregnancy complicated with diabetes was lack knowledge aboutdiabetes. Conclusion Patients with pregnancy complicated with diabetes are obviously anxious，trait anxiety maybe play an important role in the sugar metabolism control of patients with pregnancy complicated with diabetes，we should give them comprehensive treatment conclude psychological intervention and health education.
[Key words] Pregnancy complicated with diabetes；Mental health conditions；Anxious；Depression
妊娠期糖尿病是指妊娠期首次发生或发现的不同程度的糖耐量异常，在妊娠合并糖尿病患者中约占到90%[1]。妊娠糖尿病属于高危妊娠，虽然大多数患者在产后糖代谢异常能够恢复正常，但是将来患糖尿病的机会增加，并且孕妇临床经过复杂，对母婴均有较大的危害。在我国，诊断和治疗糖尿病是医学模式的重点，对于糖尿病相关的心理因素和社会因素等认识不足[2]。本研究通过对妊娠期糖尿病患者和正常孕妇的心理状况进行调查，比较两组孕妇的焦虑、抑郁状况及其观察对其心理状态产生影响的相关因素，以供参考，现将调查结果分析报道如下。
1资料与方法 ......
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