GDM患者产后抑郁现状调查及影响因素分析  

Investigation of the postpartum depression status of pregnant women with gestational diabetes mellitus and analysis of its influence factors

作　　者：肖新燕[1] 孙书利[1] XIAO Xinyan;SUN Shuli(The Second People's Hospital of Liaocheng City,Shandong Province,252600)

机构地区：[1]山东省聊城市第二人民医院,252600

出　　处：《中国计划生育学杂志》2024年第6期1242-1246,共5页Chinese Journal of Family Planning

摘　　要：目的:调查妊娠期糖尿病(GDM)患者产后抑郁(PPD)发生现状并分析影响因素。方法:选择2021年6月-2023年8月在本院就诊的GDM患者274例,产后6周评估其PPD发生情况并分成PPD组和对照组。采用《GDM患者调查问卷》收集两组21项资料并予以比较,并通过多因素分析筛查PPD的相关因素。结果:本研究共筛查出PPD 59例(21.5%)。PPD组与对照组夫妻关系、人格类型、新生儿性别符合期待、新生儿疾病、产后糖尿病、产后睡眠障碍等发生存在差异(P<0.05);夫妻关系差(OR=2.249,95%CI 1.213~4.170)、易感性人格(OR=3.219,95%CI 1.771~5.853)、新生儿性别不符合期待(OR=2.098,95%CI 1.118~3.936)、产后糖尿病(OR=2.517,95%CI 1.376~4.603)和产后睡眠障碍(OR=2.846,95%CI 1.609~5.034)为GDM患者发生PPD的危险因素。结论:夫妻关系差、易感性人格、新生儿性别不符合期待、产后遗留糖尿病、产后睡眠障碍与GDM患者发生PPD有关,应加强对上述特征人群的心理关注,及时开展精准干预,以防控PPD的发生。Objective:To investigate the status of the postpartum depression(PPD)of pregnant women with gestational diabetes mellitus(GDM),and to analyze the influencing factors of PPD.Methods:From June 2021 to August 2023,274 pregnant women with GDM were selected in this study.These women were divided into group A(women with PPD)and group B(women without PPD)according to their PPD occurrence evaluated in the postpartum 6th week.The data in 21 items of the women in the two groups were collected by"pregnant women with GDM survey questionnaire",and these data of the women were compared between the two groups.The factors related to PPD of the women were screened by multivariate analysis.Results:A total of 59(21.5%)women with PPD were screened in this study.There were significant differences in the marital relationship,the personality type,the proportions of the newborns gender meeting the expectations,newborn diseases,postpartum diabetes and postpartum sleep disorders of the women between the two groups(P<0.05).The poor marital relationship(OR=2.249,95%CI 1.213-4.170),the susceptible personality(OR=3.219,95%CI 1.771-5.853),the newborns gender not meeting the expectation(OR=2.098,95%CI1.118-3.936),the postpartum diabetes(OR=2.517,95%CI 1.376-4.603)and the postpartum sleep disorder(OR=2.846,95%CI 1.609-5.034)of the women with GDM were the risk factors of their PPD occurrence.Conclusion:The poor marital relationship,the susceptible personality,the newborns gender not meeting the expectation,and the postpartum diabetes and sleep disorder of the women with GDM are related to their PPD occurrence.Therefore,it is necessary to strengthen the psychological situations of the pregnart women with GDM and with the above-mentioned characteristics,and the precise interventions should be carried out for these women timely to prevent and control their PPD occurrence.

关 键 词：妊娠期糖尿病 产后抑郁 影响因素 调查 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R714.256[医药卫生—临床医学]