妊娠期糖尿病患者焦虑情绪对孕产妇血糖的影响及心理干预联合生物反馈训练的效果

Effect of Gestational Diabetes Anxiety on Maternal Blood Glucose and Intervention Effect of Psychological Intervention Combined with Biofeedback Training

目的:分析妊娠期糖尿病焦虑情绪对孕产妇血糖造成的影响,并探索心理干预联合生物反馈训练的干预效果。方法:收集本院产科病房2015年1月-2017年1月间接收的患妊娠期糖尿病的110例孕产妇,通过汉密尔顿焦虑量表(HAMA)对所有孕产妇的心理状态进行评估,且按照评分结果将其中评分≥14分的18例孕产妇分成研究组,评分<14分的92例孕产妇分为对照组。两组孕产妇均常用产科护理服务,研究组在此基础上加用心理干预联合生物反馈训练。观察两组护理前的血糖指标情况,以分析焦虑情绪对孕产妇血糖的影响,同时评估两组护理前、后的HAMA评分变化,并观察两组的围生期结局情况。结果:研究组的空腹血糖、餐后2h血糖及糖化血红蛋白等指标与对照组相比明显更高(t=2.0677,4.6560,2.0494;P<0.05);研究组护理后的HAMA评分与护理前、对照组相比显著更低(t=16.8259,-10.1203;P<0.05);两组的剖宫产率、产后出血量、新生儿体重及并发症发生率对比差异不显著。结论:焦虑情绪会提高妊娠期糖尿病孕产妇的血糖水平,而通过心理干预联合生物反馈训练可有效缓解孕产妇的焦虑情绪,改善围生期结局。

Objective：To analyze the effect of gestational diabetes anxiety on maternal blood glucose and explore the intervention effect of psychological intervention combined with biofeedback training.Methods：A total of 110 pregnant women with gestational diabetes mellitus received from January 2015 to January 2017 were collected from the obstetric ward of our hospital.The mental state of all pregnant women was assessed by the Hamilton Anxiety Scale（HAMA）.According to the results of the score of which more than or equal to 14 points in 18 cases of maternal divided into study group,score of less than 14 points in 92 cases of maternal divided into control group.Two groups of pregnant women were receiving common obstetric care services,the study group received psychological intervention combined with biofeedback training on the basis of the control group.Observed the effect of anxiety on the blood glucose of pregnant women before and after the two groups,evaluated the change of HAMA score before and after the two groups,and observed the perinatal outcome of the two groups.Results：These scores of fasting blood glucose,postprandial blood glucose and glycosylated hemoglobin were significantly higher than those in the control group（t=2.0677,4.6560,2.0494;P0.05）.The HAMA score of the study group after intervention was significantly lower than that before intervention and that of the control group（（t=16.8259,-10.1203;P0.05）;There was no significant difference in the incidence of cesarean section,postpartum hemorrhage,neonatal body weight and complication between the two groups.Conclusion：Anxiety will increase the blood glucose level of gestational diabetes mellitus,and psychological intervention combined with biofeedback training can effectively alleviate the anxiety of pregnant women to improve the perinatal outcome.