妊娠期糖尿病患者基于二元应对理论的心理干预  

Psychological intervention based on dyadic coping for patients with gestational diabetes mellitus

作　　者：赵露 顾培培 王俊锋 李玉雪[1] 郑丽萍[1] 李俊玲[1] Zhao Lu;Gu Peipei;Wang Junfeng;Li Yuxue;Zheng Liping;Li Junling(Nursing Department of The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属医院护理部,河南郑州450014 [2]郑州大学医学科学院 [3]河南省人民医院护理部

出　　处：《护理学杂志》2021年第15期67-70,共4页Journal of Nursing Science

基　　金：河南省科技攻关项目(162102310562);河南省医学教育研究课题(wjlx2018048)。

摘　　要：目的探讨妊娠期糖尿病患者基于二元应对理论的心理干预效果。方法将110例妊娠期糖尿病患者按照时间顺序设为对照组和观察组各55例。对照组给予常规产前指导,观察组在此基础上实施基于二元应对理论的心理干预。干预前和干预8周后评估患者的自我管理能力,血糖及焦虑、抑郁情绪变化。结果干预后,观察组患者空腹血糖、餐后2 h血糖、焦虑、抑郁得分显著低于对照组(均P<0.01),自我管理能力得分显著高于对照组(P<0.01)。结论应用基于二元应对理论的心理干预有利于提升妊娠期糖尿病患者的自我管理能力,促进血糖控制,降低焦虑、抑郁水平。Objective To explore the effect of a psychological intervention program based on dyadic coping theory on patients with gestational diabetes mellitus(GDM).Methods Totally,110 GDM women were recruited and divided into 2 groups of 55 cases each,according to the time spans when they were seeking medical help.The control group was given routine prenatal guidance,while the intervention group was subjected to a psychological intervention program developed based on dyadic coping theory.Patients′self-management ability,fasting blood glucose(FBG)level,2 h postprandial blood glucose(2 h PG)level,pregnancy-related anxiety and depression were measured before and 8 weeks into the intervention.Results After intervention,the intervention group showed lower level of FBG and 2 h PG,and lower scores of pregnancy-related anxiety and depression,while having higher self-management scores,than the controls(P<0.01 for all).Conclusion The psychological intervention program developed based on dyadic coping theory help improve self-management ability,boost blood glucose control,and reduce the level of pregnancy-related anxiety and depression in GDM patients.

关 键 词：孕妇 妊娠 妊娠期糖尿病 二元应对理论 焦虑 抑郁 血糖 自我管理 

分 类 号：R473.71[医药卫生—护理学] R849[医药卫生—临床医学]