认知行为干预对妊娠期糖尿病患者生活质量的影响  

Effect of cognitive-behavioral therapy on quality of life of patients with gestational diabetes mellitus

作　　者：李艳霞 方惠[1] 樊少磊 崔红霞 LI Yan-xia;FANG Hui;FAN Shao-lei;CUI Hong-xia(Department of Obstetrics,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan Province,China)

机构地区：[1]郑州大学第三附属医院产科

出　　处：《新乡医学院学报》2019年第12期1155-1158,共4页Journal of Xinxiang Medical University

基　　金：河南省卫生健康委员会医学继续教育项目(编号:Wjlx2018054);河南省卫生健康委员会联合共建项目(编号:2018020213,2018020193)

摘　　要：目的探讨认知行为干预对妊娠期糖尿病(GDM)患者生活质量的影响。方法采用方便抽样法选择2017年2~11月于郑州大学第三附属医院产科门诊定期产检的GDM患者82例为研究对象,根据干预措施将患者分为观察组(n=41)和对照组(n=41)。2组患者均实施常规孕期保健,在此基础上,观察组患者实施认知行为干预。采用一般资料调查表收集患者的一般资料,分别于干预前、干预后1个月、分娩后24 h采用生活质量量表评估患者的生活质量。结果干预前2组患者生活质量各维度得分比较差异无统计学意义(P>0.05)。干预后1个月,观察组患者总体健康、生理职能、身体疼痛、活力、社会功能、情感职能、精神健康得分高于干预前得分(P<0.05),生理功能得分与干预前比较差异无统计学意义(P>0.05);分娩后24 h,观察组患者生活质量各维度得分均高于干预前(P<0.05)。干预后1个月,对照组患者生活质量各维度得分与干预前比较差异均无统计学意义(P>0.05);分娩后24 h,对照组患者总体健康、生理职能、社会功能得分高于干预前(P<0.05),其余指标与干预前比较差异均无统计学意义(P>0.05)。干预后1个月,观察组患者总体健康、生理职能、情感职能、精神健康得分高于对照组(P<0.05),其余指标2组比较差异无统计学意义(P>0.05);分娩后24 h,观察组患者各维度得分均高于对照组(P<0.01)。结论认知行为干预可以提高GDM患者的生活质量。Objective To evaluate the effect of cognitive-behavioral therapy on quality of life of patients with gestational diabetes mellitus.Methods Eighty-two patients with gestational diabetes mellitus who were examined regularly in the Third Affiliated Hospital of Zhengzhou University were selected by convenient sampling method and divided into observation group(n=41)and control group(n=41).All patients were given routine pregnancy care,based on this,the patients in observation group were given cognitive behavior intervention.The general data of all patients were collected by general questionnaire.The quality of life of all patients were evaluated by quality of life scale before intervention,one month after intervention and 24 hours after delivery.Results There was no significant difference in the scores of each dimension of quality of life between the two groups before intervention(P>0.05).The scores of overall health,physiological function,physical pain,vitality,social function,emotional function and mental health of patients in the observation group at one month after intervention were higher than those before intervention(P<0.05);there was no significant difference in the scores of physiological function before intervention and one month after intervention(P>0.05);the scores of all dimensions of quality of life of patients in the observation group at 24 hours after delivery were higher than those before intervention(P<0.05).There was no significant difference in the scores of all dimensions of quality of life of patients in the control group at one month after intervention and before intervention(P>0.05);the scores of overall health,physiological function and social function of patients in the control group at 24 hours after delivery were higher than those before intervention(P<0.05),and there was no significant difference in the other indicators of patients in the control group at 24 hours after delivery and before intervention(P>0.05).The scores of overall health,physiological function,emotional function and menta

关 键 词：认知行为干预 妊娠期糖尿病 生活质量 

分 类 号：R733.3[医药卫生—肿瘤]