孕期集体心理干预对妊娠期糖尿病患者心理压力的影响

Effect of Collective Psychological Intervention during Pregnancy on Psychological Stress of Patients with Gestational Diabetes Mellitus

目的探讨孕期集体心理干预对妊娠期糖尿病患者心理压力的影响。方法选取2019年1~12月在广东省中山市南朗医院接受诊疗的60例妊娠期糖尿病(GDM)患者,根据随机数字表法分为对照组与观察组,各30例,对照组通过常规心理干预,观察组通过孕期集体心理干预,对比两组患者心理压力等情况。结果干预前,两组心理压力、汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)评分对比差异无统计学意义(P>0.05);干预后,观察组心理压力减轻情况明显优于对照组且HAMA、HAMD评分明显低于对照组,对比差异均有统计学意义(P<0.05)。两组妊娠期高血压、新生儿呼吸窘迫综合征、新生儿低血糖发生率对比差异无统计学意义(P>0.05);观察组血糖控制成功率明显高于对照组而剖宫产发生率明显低于对照组,对比差异均有统计学意义(P<0.05)。结论孕期集体心理干预可有效缓解患者心理压力及焦虑抑郁心理反应,同时提高血糖控制成功率与康复进程,保障母婴安全。

Objective To explore the effect of collective psychological intervention during pregnancy on psychological stress of patients with gestational diabetes mellitus.Methods 60 patients with gestational diabetes mellitus(GDM)in our hospital from January 2019 to December 2019 were selected and randomly divided into the control group and the observation group,30 cases in each group.The control group was given routine psychological intervention,and the observation group was given collective psychological intervention during pregnancy.Results Before the intervention,there was no significant difference in the scores of psychological pressure,HAMA and HAMD between the two groups(P>0.05);after the intervention,the relief of psychological pressure in the observation group was significantly better than that in the control group,and the scores of HAMA and HAMD in the observation group were significantly lower than those in the control group(P<0.05).There was no statistical difference in the incidence of gestational hypertension,neonatal respiratory distress syndrome and neonatal hypoglycemia between the two groups(P>0.05);the success rate of blood glucose control in the observation group was significantly higher than that in the control group,while the incidence of cesarean section was significantly lower than that in the control group,with statistical difference(P<0.05).Conclusion The collective psychological intervention during pregnancy can effectively relieve the psychological pressure,anxiety and depression of patients,improve the success rate of blood glucose control and rehabilitation process,and ensure the safety of mother and baby.