正念心理干预对妊娠期糖尿病孕产妇心理状况及妊娠结局的影响  

Effects of mindfulness-based psychological intervention on wechat platform on psychological status and pregnancy outcome of pregnant women with gestational diabetes mellitus

作　　者：武丽[1] 黄千峰[2] 马远珠[3] 李甜甜 夏建红[1] WU Li;HUANG Qianfeng;MA Yuanzhu;LI Tiantian;XIA Jianhong(Department of Maternal Health,Guangdong Provincial Maternity and Child Health Hospital,Guangdong Guangzhou 511442,China;Department of Physical Examination,Guangdong Provincial Maternity and Child Health Hospital,Guangdong Guangzhou 511442,China;Department of Health Care,Guangdong Provincial Maternity and Child Health Hospital,Guangdong Guangzhou 511442,China)

机构地区：[1]广东省妇幼保健院妇保科,广东广州511442 [2]广东省妇幼保健院体检科,广东广州511442 [3]广东省妇幼保健院保健部,广东广州511442

出　　处：《中国妇幼健康研究》2023年第2期45-48,共4页Chinese Journal of Woman and Child Health Research

基　　金：中国疾病预防控制中心妇幼保健院中心2019年度“母婴营养与健康研究项目”(2019FYH003)。

摘　　要：目的探讨基于微信平台的心理干预对妊娠期糖尿病(GDM)孕产妇心理状况改善及妊娠结局的影响。方法选择2019年8月至2020年8月在广东省妇幼保健院确诊为GDM且Zung式焦虑自评量表(SAS)或Zung式抑郁自评量表(SDS)评分阳性的112例孕妇为研究对象,随机分为干预组(n=50)和对照组(n=62)。对照组给予常规产检及营养指导,干预组在此基础上利用微信平台进行正念心理干预,比较两组孕产妇干预前后焦虑抑郁改善情况及其妊娠结局情况。结果干预组与对照组的年龄、身高、体重差异无统计学意义(P>0.05);干预后焦虑症状及抑郁症状检出率均低于干预前,差异有统计学意义(χ^(2)值分别为8.27、81.29,P<0.05);干预组的剖宫产率、早产率、低体重儿出生率均低于对照组,差异有统计学意义(χ^(2)值分别为5.40、5.33、6.24,P<0.05);干预组新生儿出生身长大于对照组,差异有统计学意义(t=-3.09,P<0.05)。结论正念心理干预可以缓解GDM患者的焦虑、抑郁情绪,改善妊娠结局,可在临床推广应用。Objective To explore effects of mindfulness-based psychological intervention on wechat platform on psychological status and pregnancy outcome of pregnant women with gestational diabetes mellitus(GDM).Methods 112 pregnant women who were diagnosed as GDM and had positive scoring results of Zung Self-rating Anxiety Scale(SAS)or Zung Self-rating Depression Scale from August 2019 to August 2020 in Guangdong Provincial Municipal Maternity and Child Health Hospital were selected as study subjects.The pregnant women with positive SDS score or SAS score were randomly divided into intervention group(n=50)and control group(n=62).The pregnant women in the control group received routine prenatal examination and nutritional guidance,and those pregnant women in the intervention group were performed on mindful-based psychological intervention on wechat platform in addition to routine prenatal examination and nutritional guidance.Improvement in anxiety or depression and pregnancy and delivery outcomes of the pregnant women in the two groups were compared before and after intervention.Results There were no significant differences in age,height and weight of the pregnant women between the intervention group and the control group(all P>0.05).The detection rates of anxiety symptoms and depression symptoms after intervention were lower than those before intervention,and the differences were statistically significant(χ^(2)=8.27 and 81.29 respectively,both P<0.05).The cesarean section rate,premature birth rate and low birth weight rate in the intervention group were lower than those in the control group,and the differences were statistically significant(χ^(2)=5.40,5.33 and 6.24 respectively,all P<0.05).The birth length of the newborns in the intervention group was longer than that in the control group,and the difference was statistically significant(t=-3.09,P<0.05).Conclusion Mindfulness-based psychological intervention can alleviate anxiety and depression of GDM patients,improve the pregnancy outcome.It can be applied in clinical pra

关 键 词：妊娠期糖尿病 心理干预 抑郁 焦虑 

分 类 号：R173[医药卫生—妇幼卫生保健]