摘要
目的分析GDM孕妇焦虑、妊娠压力状况与心理健康的相关性。方法选取2018年1月至2019年1月重庆医科大学附属第二医院收治的100例GDM孕妇作为观察组,对其临床资料进行回顾性分析,另选取同期进行孕检结果正常的孕妇100例作为对照组。采用SAS、妊娠压力量表及SCL-90量表评估孕妇的焦虑、妊娠压力及心理健康状况,采用Pearson相关性分析GDM孕妇焦虑、妊娠压力状况与心理健康的相关性。结果与对照组比,观察组孕妇轻度焦虑比例显著降低,中度、重度焦虑比例显著升高(P <0.05);观察组孕妇因确保母子健康和安全而引发的压力感显著高于对照组(P <0.05);与对照组比,观察组孕妇生活质量SCL-90表中各项评分均显著高于对照组(P <0.05);经Pearson相关性分析可见,躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执及精神病性与SAS评分和妊娠压力均呈现负相关(P <0.05)。结论与正常孕妇比,GDM孕妇更容易出现焦虑和妊娠压力,且两者与心理健康显负相关关系,临床应在疾病治疗的同时给予其心理疏导,以提高孕妇的心理健康水平。
Objective To analyze the correlation between anxiety,pregnancy stress and mental health of pregnant women with GDM.Methods 100 pregnant women with GDM who were admitted to the Second Affiliated Hospital of Chongqing Medical University from January 2018 to January 2019 were selected as the observation group,and their clinical datas were retrospectively analyzed,Another 100 pregnant women with normal pregnancy results during the same period were selected as the control group.SAS,pregnancy stress scale and SCL-90 scale were used to assess the anxiety,pregnancy stress and mental health status of pregnant women.Pearson correlation was used to analyze the correlation between GDM pregnant women's anxiety,pregnancy stress status and mental health.Result Compared with the control group,the proportion of mild anxiety of pregnant women in the observation group significantly reduced,and the proportion of moderate and severe anxiety significantly increased(P<0.05);the pregnant women in the observation group were significantly more stressed than the control group due to ensuring the health and safety of the mother and child(P<0.05);compared with the control group,the each item scores of the quality of life of pregnant women in the observation group in the SCL-90 scale were significantly higher than the control group(P<0.05);Pearson correlation analysis showed that somatization,obsessive-compulsive symptoms,interpersonal sensitivities,depression,anxiety,hostility terror,paranoia and psychosis were negatively correlated with SAS scores and pregnancy stress(P<0.05).Conclusion Compared with normal pregnant women,GDM pregnant women are more prone to anxiety and stress,and there was a negative correlation between them and mental health.They should be given psychological coxmseling at the same time as disease treatment to improve the psychological health of pregnant women in clinal.
作者
刘莉
田茗源
徐蔚蔚
LIU Li;TIAN Mingyuan;XU Weiwei(Department of endocrinology and metabolism,Second Hospital Affiliated to Chongqing Medical University,Chongqing 400010,China;Department of endocrinology,Second Hospital Affiliated to Chongqing Medical University,Chongqing 400010,China)
关键词
妊娠糖尿病
焦虑
妊娠压力
心理健康
相关性
gestational diabetes mellitus
anxiety
pregnancy stress
mental health
correlation
