妊娠糖尿病患者自我效能状况与焦虑抑郁相关性研究  

The Relativity Between Self-efficacy Status and Anxiety, Depression of the Patients with Gestational Diabetes Mellitus

作　　者：李晓娟[1] 李海鸿 李雪娇 周敏[2] 孟照琰[2] 张玲[2] LI Xiaojuan;LI Haihong;LI Xuejiao;ZHOU Min;MENG Zhaoyan;ZHANG Ling(Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China;Gansu Provincial Maternity and Child-care Hospital)

机构地区：[1]甘肃省中医院,甘肃兰州730050 [2]甘肃省妇幼保健院

出　　处：《西部中医药》2019年第11期84-87,共4页Western Journal of Traditional Chinese Medicine

基　　金：兰州市科学计划项目(编号2016-2-54)

摘　　要：目的:调查分析妊娠糖尿病(gestational diabetes mellitus,GDM)患者焦虑抑郁的发生率及自我管理效能水平以及二者的相关性。方法:应用糖尿病自我效能感量表(the self-efficacy for diabetes,SED)、焦虑自评量表(self-rating anxiety scale,SAS)及抑郁自评量表(self-rating depression scale,SDS)对142例妊娠糖尿病患者进行调查。结果:妊娠糖尿病焦虑发生率为69.0%,抑郁发生率为38.7%;不同焦虑程度患者的饮食、血糖控制及病情比较差异有统计学意义(P<0.05),不同焦虑程度患者的运动锻炼维度比较差异无统计学意义(P>0.05);不同抑郁程度患者饮食、血糖控制及运动锻炼病情比较差异均有统计学意义(P<0.05);无焦虑无抑郁患者与有焦虑有抑郁患者自我效能评分总分比较差异有统计学意义(P<0.01),且各维度得分比较差异有统计学意义(P<0.01);妊娠糖尿病患者焦虑评分与饮食、血糖控制、运动锻炼及总分呈负相关,患者抑郁评分与自我效能量表各维度均呈负相关。结论:妊娠糖尿病患者存在明显焦虑、抑郁心理,患者焦虑与抑郁状况越严重,自我效能状况越差,其中重点表现在患者的饮食、血糖控制及运动锻炼维度方面。Objective:To survey and analyze the incidence of anxiety and depression in the patients with gestational diabetes mellitus(GDM)and self-efficacy level,and the relativity between both.Methods:Self-efficacy for diabetes(SED),SAS and SDS were applied to the survey for 142 GDM patients.Results:Anxiety incidence of GDM patients was 69.0%,depression incidence 38.7%;the difference showed statistical meaning in diet,blood glucose control and disease conditions among the patients suffering various degrees of anxiety(P<0.05),the difference had no statistical meaning in the dimension of exercise among the patients suffering various degrees of anxiety(P>0.05),the difference could be found in dietary control,exercise,blood glucose control and disease conditions among the patients suffering various degrees of depression(P<0.05);the difference was statistically significant in total scores of self-efficacy status between the patients without anxiety and depression and the patients suffering anxiety and depression(P<0.01),and the difference had statistical meaning in the scores of different dimensions(P<0.01);SAS of GDM patients were negatively related to diet blood glucose control,exercise,and total scores,SDS of GDM patients were negatively related to different dimensions in GDM.Conclusion:GDM patients are suffering from anxiety and depression,the more serious the anxiety and depression are,the worse self-efficacy is,especially in the patients'dietary control,exercise and blood glucose dimensions.

关 键 词：妊娠糖尿病 焦虑 抑郁 自我效能状况 

分 类 号：R587[医药卫生—内分泌]