妊娠期糖尿病孕妇情绪状态及危险因素分析

目的 :探讨妊娠期糖尿病 ( GDM)孕妇情绪状态及糖尿病的危险因素。方法 :对 4 3例 GDM孕妇和 74例正常孕妇进行对照研究。采集两组孕妇的一般资料 ,并以汉密顿焦虑量表 ( HAMA)、汉密顿抑郁量表 ( HAMD)为工具评定焦虑及抑郁症状。结果 :GDM孕妇焦虑及抑郁症状的发生率均为 2 5 .6 % ( 11/ 4 3) ,焦虑症状的发生率显著高于对照组。GDM孕妇的 HAMA总分及因子分均显著高于对照组。L ogistic回归分析发现 ,孕周、孕妇体重指数、家庭经济状况及 HAMA总分为 GDM的危险因素。结论 :GDM孕妇孕中期焦虑及抑郁症状的发生率较高 ,并且焦虑是 GDM的风险因素。应加强对 GDM孕妇情绪状态变化的检测 ,及时进行心理辅导及心理治疗

Psychological state and risk factors of the pregnant women with gestational diabetes mellitus

Objective:To explore the state of anxiety and depression in the pregnant women with gestational diabetes mellitus(GDM) and analyze the risk factors of GDM.Methods:The study was carried on in 43 pregnant women with GDM and 74 controls. The general data of the two groups were collected, and the psychological state of the two groups was evaluated with Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD).Results:The incidence rate of anxiety and depression in the pregnant women with GDM were 25.6%(11/43), the incidence rate of anxiety in pregnat women with GDM was higher significantly than control group, and there were significant difference in total score and its factorial score of HAMA in the two groups. With Logistic regression, it was found that the risk factors of GDM were the weeks of pregnancy, Body Mass Index(BMI) of pregnant woman, the condition of family economy and total score of HAMA.Conclusion:The incidence rate of anxiety and depression in the pregnant women with GDM are higher, and anxiety is the dangerous factor of GDM. Psychological state in pregnant woman, especially in pregnant women with GDM must be noticed, and psychological counseling and psychological therapy may be carried on as early as possibly.