基于跨理论模型的情绪管理在妊娠期糖尿病患者中的效果及对妊娠结局的影响  

Effect of Emotion Management on Gestational Diabetes Mellitus and Its Effect on Pregnancy Outcome Based on Cross-theoretical Model

作　　者：张灵 ZHANG Ling(Department of Maternity,Ninghua County General Hospital,Sanming 365400,China)

机构地区：[1]宁化县总医院产科,福建三明365400

出　　处：《中国医药指南》2023年第29期6-10,共5页Guide of China Medicine

摘　　要：目的 探讨基于跨理论模型的情绪管理在妊娠期糖尿病患者中的效果及对妊娠结局的影响。方法 筛选2021年1月至2022年12月期间在宁化县总医院就诊的妊娠期糖尿病患者170例,随机分为两组,对照组开展常规妊娠期健康教育干预,研究组开展基于跨理论模型的情绪管理干预。结果 与对照组比较,研究组的宫内窒息、巨大儿、胎膜早破、产后出学、剖宫产发生率均更低(P <0.05);与干预前比较,两组干预后的SDS、SAS评分均有所下降(P <0.05),POS评分、DES评分、ANG评分均有所增加(P <0.05),积极应对评分、坚韧性评分、乐观性评分、力量性评分均有所升高,消极应对评分均有所下降(P <0.05);与对照组比较,研究组干预后的抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-Rating Anxiety Scale,SAS)评分均更低(P <0.05),表达积极情绪自我效能感评分(Perceived Self-efficacy in Expressing Positive Affect,POS)、调节沮丧/痛苦情绪自我效能感评分(Perceived Selfefficacy in Managing Despondency/Distress,DES)、调节生气/愤怒情绪自我效能感评分(Perceived Self-efficacy in Managing Anger/Irritation,ANG)均更高(P <0.05),积极应对评分、坚韧性评分、乐观性评分、力量性评分均更高,消极应对评分更低(P <0.05);与对照组比较,研究组干预总满意度更高(P <0.05)。结论 妊娠期糖尿病患者运用基于跨理论模型的情绪管理干预,不但能够对患者的不良心理情绪给予有效改善,使患者的情绪调节自我效能得到有效提升,同时还能够让患者的心理弹性得到进一步的加强,降低不良妊娠结局的发生,可起到诸多积极作用。Objective To explore the effect of emotion management based on cross-theoretical model in patients with gestational diabetes mellitus and its influence on pregnancy outcome.Methods 170 patients with gestational diabetes mellitus from January 2021 to December 2022in Ninghua County General Hospital were randomly divided into two groups:the control group received routine health education intervention during pregnancy,and the study group received emotion management intervention based on cross-theoretical model.Results Compared with the control group,the incidence of intrauterine asphyxia,macrosomia,premature rupture of membranes,postpartum school delivery and cesarean section were lower in the study group(P<0.05).Compared with before intervention,SDS and SAS scores were decreased after intervention(P<0.05),POS scores,DES scores and ANG scores were increased(P<0.05),positive coping scores,tenacity scores,optimism scores and strength scores were increased,and negative coping scores were decreased(P<0.05).Compared with the control group,the SDS and SAS scores of the study group after intervention were lower(P<0.05),The score of expressing positive emotion self-efficacy(percei ved self-efficacy in expressing positive affect,POS),the score of regulating depression/pain emotion self-efficacy(perceiv ed selfefficacy in managing despondency/distress,DES),and the score of regulating anger/anger emotion self-efficacy(perceived self-efficacy in managing anger/irritation perceived self-efficacy in managing anger/irritation,ANG) were all higher(P<0.05),the positive coping scores,tenacity scores,optimism scores and strength scores were higher,and the negative coping scores were lower(P<0.05).Compared with the control group,the total intervention satisfaction of the study group was higher(P<0.05).Conclusions The application of emotion management intervention based on cross-theoretical model in patients with gestational diabetes can not only effectively improve the adverse psychological emotions of patients,improve the self-efficacy

关 键 词：妊娠期糖尿病 情绪管理 跨理论模型 心理弹性 妊娠结局 

分 类 号：R714.2[医药卫生—妇产科学] R473.71[医药卫生—临床医学]