摘要
目的调查新诊断的妊娠糖尿病患者焦虑状态,分析导致其相关因素及不良后果,为妊娠糖尿病患者焦虑状态的防治提供依据。方法采用焦虑自评量表(selfratinganxietyscale,SAS)对新诊断的妊娠糖尿病85例及正常孕妇54例进行调查;制定妊娠糖尿病对患者心理状态影响因素问卷调查表,并对妊娠糖尿病患者进行书面调查;同时测定妊娠糖尿病患者的血糖,追踪其新生儿出生时状况;分析焦虑形成的相关因素及对孕妇、新生儿的影响。结果新诊断的妊娠糖尿病患者焦虑状态发生率为44.7%,明显高于血糖正常的孕妇(37.0%)。焦虑的妊娠糖尿病患者葡萄糖耐量试验(OGTT)明显高于非焦虑的妊娠糖尿病患者,即0min前者为(6.68±3.77)mmol/L,后者为(4.70±0.65)mmol/L(P<0.001);60min前者为(11.78±4.95)mmol/L,后者为(9.90±1.52)mmol/L(P<0.05);120min前者为(9.95±4.19)mmol/L,后者为(7.90±1.59)mmol/L(P<0.05)。影响患者心理状态的相关因素依次为接受糖尿病教育浪费时间、血糖监测费钱、担心影响家庭关系。结论新诊断的妊娠糖尿病患者焦虑发生率高于血糖正常孕妇。焦虑的妊娠糖尿病患者血糖更高。妊娠糖尿病患者病情复杂,认识疾病、接受糖尿病的检查与治疗及其产生的相关费用和时间增加,担心影响家庭关系等可能是导致妊娠糖尿病患者焦虑发生的主要原因。采用通俗易懂的教育方式普及妊娠糖尿病知识可能有助于缓解患者焦虑状态。
Objective To investigate anxiety and its risk factors, and improve the prevention and management of anxiety in newly-diagnosed gestational diabetes millitus (GDM). Methods Self-rating Anxiety Scale (SAS) were used to evaluate the anxiety in 86 gestational diabetes patients who were diagnosed within 2 weeks and 54 cases of normal pregnancies. The relationship between the SAS score with their diabetic complications, metabolic control and the risk factor of depression were analyzed. Results 44.7% of GDM had anxiety. The risk factors were the feeling anxious about accepting diabetic education, the cost of glucose monitor, and the relation of their family. The glucose levels of anxiety group during OGTT were higher than those of un-anxiety group (0 min 6.68±3.77 vs 4.70±0.65 mmol/L, P<0.001; 60 min 11.78±4.95 vs 9.90±1.52 mmol/L, P<0.05; 120 min 9.95±4.19 vs 7.90±1.59, respectively) (P<0.05). The anxiety was positively correlated with the thinking of that wasting time for diabetic education (r=0.622, P<0.001), the cost of glucose monitor (r=0.367, P<0.001) the worry about the family correlation (r=0.351, P<0.001). Conclusions As high as 44.7% newly-diagnosed GDM have anxiety with higher glucose levels, which may be affected by the diabetic education, the cost of glucose monitor, family relation. GDM patients may be easy to be suffered from depression. Finding a way to help the patients to get the knowledge of GDM seems very important to improve the anxiety.
出处
《总装备部医学学报》
2005年第2期76-78,共3页
Medical Journal of General Equipment Headquarters
关键词
妊娠糖尿病
血糖水平
糖尿病教育
焦虑
Gestational diabetes Diabetic education Glucose levels Anxiety
