妊娠合并糖尿病患者心理健康状况调查

Anxiety and depression in pregnant women with diabetes

目的:了解妊娠合并糖尿病患者的焦虑及抑郁状况。方法:选择2001～2003年期间重庆医科大学第二附属医院妇产科60例妊娠期糖尿病住院患者及188例无妊娠合并症患者,以焦虑自评量表(SAS)、抑郁自评量表(SDS)分别进行问卷调查。结果:妊娠期糖尿病患者SAS总分明显高于正常待产孕妇(55.5±4.59 VS 31.90±3.0,P<0.001),其SDS总分亦高于正常待产孕妇(58.3±4.80 VS 31.2±3.90,P<0.001);在妊娠期糖尿病组,高龄初产妇、不良孕产史及孕前有糖尿病史患者SAS、SDS得分明显高于无上述情况者(P<0.01)。结论:妊娠期糖尿病患者有一定的焦虑与抑郁症状,其焦虑与抑郁程度与ICP患者生育年龄、孕产史及孕前糖尿病史有关。

Objective： To investigate the anxiety and depression in pregnant with diabetes. Methods： A survry was conducted among 60 pregnant women with diabetes and 188 normal pregnant women in the Second Afflicated Hospital of Chongqing Medical science from 2001-2003 using self-rating anxiety scal（SAS） and self-rating depression scale （SDS）. Results： The average SAS in pregnant women with diabetes was 55.5 ± 4.59,significantly higher than that in the normal group （31.9 ± 3.0, P〈0.01）; The average SDS in pregnant women with diabetes was 40.2 ± 5.59,significantly higher than that in the normal group （31.2 ± 3.9, P〈0.01）. In pregnant patients with diabetes hospitalized, the average SAS and SDS in elderly primipara and the women with abnormal reproductive history or diabetes history hefore pregnancy was significantly higher than that in the women at child-hearing age and the women with normal reproductive history and the women has no diabetes before pregnancy. Conclusion： Pregnant women with diabetes have symptions of anxiety and depression to a certain degree ,The degree of anxiety and depression is related to the reproductive history, child-bearing age and diabetes history before pregnancy.