妊娠期糖尿病孕妇心理现状调查分析及护理干预措施  

Investigation and analysis of psychological status of pregnant women with gestational diabetes mellitus and nursing intervention measures

作　　者：刘霞[1] 张丽[1] 苏高莉[1] 胡秋文[1] 曾明凤 Liu Xia;Zhang Li;Su Gaoli;Hu Qiuwen;Zeng Mingfeng(Department of Obstetrics,North Hospital of People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530001,China)

机构地区：[1]广西壮族自治区人民医院北院院区产科,广西南宁530001

出　　处：《实用妇科内分泌电子杂志》2022年第32期100-103,107,共5页Electronic Journal of Practical Gynecological Endocrinology

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(编号Z-A20220038);广西壮族自治区卫生健康委员会自筹经费科研课题(编号Z20210540)。

摘　　要：目的了解妊娠期糖尿病(GDM)孕妇的心理状况,分析其心理弹性水平的影响因素并提出相应干预措施。方法选取212例GDM孕妇,采用一般情况调查表和Connor-Davidson心理弹性量表对其展开问卷调查,并采用单因素分析及多元线性回归法分析影响其心理弹性水平的因素。结果212例GDM孕妇的心理弹性量表得分为(56.48±12.59)分。单因素分析显示,孕周、婚姻状况、家庭支持度、文化程度、胰岛素使用、家庭人均月收入、付费方式7项因素会对GDM孕妇的心理弹性水平产生一定的影响(P<0.05);多因素分析显示,婚姻状况、家庭支持度、文化程度、胰岛素使用、家庭人均月收入5项因素均是GDM孕妇心理弹性水平的独立影响因素(P<0.05)。结论GDM孕妇心理弹性水平偏低,心理压力较大,孕妇所处的婚姻状况、家庭支持度、文化程度、胰岛素使用、家庭人均月收入是影响其心理弹性水平的重要因素;在临床护理过程中,应密切关注GDM孕妇的心理状况,及时给予针对性的护理措施,以缓解孕妇心理压力,改善母婴结局。Objective To understand the psychological status of pregnant women with GDM,analyze the influencing factors of their psychological resilience and propose corresponding intervention measures.Methods 212 pregnant women with GDM were selected as the study subjects.The general situation survey and the Connor-Davidson resilience scale were used to carry out a questionnaire survey.The single factor analysis and multiple linear regression were used to analyze the factors affecting their resilience.Results The score of the resilience scale of 212 GDM pregnant women was(56.48±12.59).Single factor analysis showed that seven single factors,including gestational age,marital status,family support,education level,insulin use,per capita monthly income of families,and payment methods,had a certain impact on the resilience level of GDM pregnant women(P<0.05).Multivariate analysis showed that five factors including marital status,family support,education level,insulin use,and per capita monthly income were all independent influencing factors of GDM pregnant women's psychological resilience(P<0.05).Conclusion The resilience level of GDM pregnant women is low and their psychological pressure is high.The marital status,family support,education level,insulin use and per capita monthly income ofGDM pregnant women are important factors affecting their resilience level.In the process of clinical nursing,we should pay close attention to the psychological status of GDM pregnant women,and give timely targeted nursing measures to alleviate the psychological pressure of pregnant women and improve the outcome ofmothers and infants.

关 键 词：妊娠期糖尿病 心理弹性 影响因素 护理措施 

分 类 号：R473.71[医药卫生—护理学]