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目的调查与评估妊娠期糖尿病孕妇的心理健康状况,为妊娠期糖尿病孕妇的心理健康问题防治提供依据。方法采用抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS),对2019年8月—2020年8月在广东省妇幼保健院就诊的24～28周确诊妊娠期糖尿病的267例孕妇进行调查。问卷由统一培训的调查员采用基于移动终端的调查系统进行调查。采用SPSS 18.0软件进行统计学分析。结果本次调查的267例妊娠期糖尿病孕妇,SAS总分标准分的最大值为60,最小值为25,平均分为42.16分。焦虑倾向者共有29人,阳性率为10.86%。SDS总分标准分的最大值为72.5,最小值为25,平均分为53.11分。抑郁倾向者共有143人,阳性率为53.56%。孕妇月收入≥5 000元的抑郁倾向危险性是≤1 000元的2.54倍(95%CI:1.14～5.69)。产次≥3次是抑郁倾向的保护因素(OR=0.20,95%CI:0.05～0.77)。结论妊娠期糖尿病孕妇焦虑倾向和抑郁倾向的阳性率较高。提示,应重视妊娠期糖尿病孕妇的心理健康问题。
Abstract：Objective To collect and evaluate the mental health status of pregnant women with gestational diabetes mellitus diagnosed by glucose tolerance test, and to provide research basis for the prevention and treatment of mental health problems of pregnant women with gestational diabetes mellitus.Methods Self-rating Depression scale(SDS) and self-rating anxiety scale(SAS)were used to investigate the 267 pregnant women with gestational diabetes mellitus(GDM) at 24-28 gestational weeks between August2019 and August 2020. After the pregnant woman completed the questionnaire survey face-to-face, the investigator checked immediately. SPSS 18. 0 was used for statistical analysis. The description of relevant indicators was expressed in terms of constituent ratios or rates.Results Among the 267 cases of gestational diabetes mellitus, the maximum SAS score was 60, the minimum was 25,and the average was 42. 16. There were 29 patients with anxiety tendency, and the positive rate was 10. 86%. Among the 267 cases of gestational diabetes mellitus, the maximum SDS total score was 72. 5, the minimum was 25, and the average was 53. 11. The propertion of depression was 53. 56%. The odds ratio of depression was 2. 54(95%CI:1. 14-5. 69) for women with a monthly income of 5 000 yuan and above compared with a monthly income of 1 000 yuan or less. Delivery times of 3 or more were the protective factors of depression tendency(OR= 0. 20,95%CI:0. 05-10. 77).Conclusion The positive rates of anxiety and depression tendency of pregnant women with gestational diabetes mellitus were higher than that of the general population. It is necessary to pay attention to the mental health of pregnant women with gestational diabetes mellitus.
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基本信息:
DOI：10.19757/j.cnki.issn1674-7763.2021.03.001
中图分类号:R714.256
引用信息:
[1]武丽,黄千峰,姚琳琳,等.妊娠期糖尿病孕妇不良心理健康问题调查研究[J].中国妇幼卫生杂志,2021,12(03):1-6.DOI:10.19757/j.cnki.issn1674-7763.2021.03.001.
基金信息:
中国疾病预防控制中心妇幼保健中心2019年度“母婴营养与健康研究项目”(2019FYH003)
2021-05-20
2021-05-20