摘要
目的调查妊娠期糖尿病（GDM）孕妇焦虑和抑郁现状，探讨其相关因素及不良后果，为GDM孕妇焦虑和抑郁的防治提供理论依据。方法采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对95例GDM孕妇进行调查。结果GDM孕妇焦虑和抑郁发生率分别为47．4％和33．4％。焦虑情绪的孕妇筛查时血糖、空腹血糖、OGTT 0min血糖高于非焦虑孕妇；抑郁情绪的孕妇筛查血糖、空腹血糖、餐后2h血糖、OGTT 0min及120min血糖均高于非抑郁孕妇。结论存在焦虑抑郁的GDM孕妇血糖更高，代谢控制较差，负性情绪应受到高度关注，尽早采取较为有效的干预措施以避免不良妊娠结局的发生。
Objective To investigate the anxiety and depresson status of pregnant women with gestational diabetes mellitus （GDM）, to explore the correlated factors and harmful result among these patients, and to provide a theoretic basis for prevention and treatment of the anxiety and depresson status of pregnant women with gestational diabetes mellitus. Methods 95 cases with GDM were investigated by using Self Rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS）. Results Anxiety rate was 47.4% and depression rate was 33. 4% in patients with GDM. In the screening examination, patients with anxiety had blood glucose, fast blood glucose, and OGTT at 0 min. , higher than those in patients without anxiety. And in the screening examination, patients with depression had higher levels of blood glucose, fast blood glucose, two-hour-later-after-a-meal blood glucose, OGTT at 0 min. and at 120 min. than non-depression patients. Conclusions GDM Patients with anxiety and depresson have higher level blood glucose, and the control of their metalism is poor. It should pay a high attention to the negative mood of them and try to take effective intervention measures as early as possible to avoid the occurrence of a bad pregnant result.
出处
《中华现代护理杂志》
2009年第20期1935-1937,共3页
Chinese Journal of Modern Nursing
关键词
妊娠期糖尿病
焦虑
抑郁
Gestational diabetes mellitus
Anxiety
Depresson
