摘要
目的:调查妊娠糖尿病患者的焦虑、抑郁负性情绪,并探讨认知行为干预对妊娠糖尿病患者负性情绪和血糖的影响。方法:应用综合性医院焦虑抑郁量表,在护理干预前和护理干预后2个月,对围产保健科门诊的92例妊娠糖尿病患者进行心理状况的评估,并收集患者空腹及餐后2 h血糖监测结果。结果:护理干预前,92例妊娠糖尿病患者中,焦虑的患者30例(32.61%),抑郁的患者21例(22.83%),焦虑和抑郁兼有的患者18例(19.57%)。干预后患者的焦虑、抑郁检出率同干预前相比,差异有统计学意义(P<0.05),空腹血糖和餐后2 h血糖与干预前相比,差异有统计学意义(P<0.01)。结论:认知行为干预应用于妊娠糖尿病患者中效果良好,可显著改善妊娠糖尿病患者的负性情绪和血糖水平。
Objective： To investigate the negative emotion （anxiety and depression） of patients with gestational diabetes mellitus （ GDM）, explore the effect of cognitive behavior intervention on negative emotion and blood glucose of patients with GDM. Methods： Hospital Anxiety and Depression Scale was used to evaluate the psychological status of 92 patients with GDM from outpatient of perinatal health care department before cognitive behavior intervention and at two months after cognitive behavior intervention ; the detection results of fasting blood glucose and postprandial two - hour blood glucose were collected. Results ： Before cognitive behavior intervention, among 92 GDM patients, 30 patients （32. 61% ） were found with anxiety, 21 patients （22.83%） were found with depression, 18 patients （ 19. 57% ） were found with anxiety and depression; there were statistically significant differences in the detection rates of anxiety and depression between before and after cognitive behavior intervention （ P 〈 0.05 ） , there were statistically significant differences in fasting blood glucose and postprandial two - hour blood glucose between before and after cognitive behavior intervention （P 〈 0. 01 ） . Conclusion： The effect of cognitive behavior intervention is good in patients with GDM, and the method can significantly improve negative emotion and blood glucose level of GDM patients.
出处
《中国妇幼保健》
CAS
北大核心
2014年第6期864-866,共3页
Maternal and Child Health Care of China
基金
河南省科技攻关计划项目〔132102310147〕
关键词
妊娠糖尿病
认知行为干预
负性情绪
血糖
Gestational diabetes mellitus
Cognitive -behavior intervention
Negative emotion
Blood glucose
