妊娠期糖尿病患者抑郁、焦虑发生的相关因素分析

Study on the related factors of depression and anxiety in patients with gestational diabetes mellitus

目的探讨妊娠期糖尿病(GDM)患者发生抑郁、焦虑的相关因素。方法选取在我院产科建立产前登记卡并确诊为GDM伴有抑郁、焦虑情绪的120例孕妇作为病例组、另外选取同期妊娠的非抑郁、焦虑GDM孕妇240例作为对照组;统计分析两组患者的年龄、孕前体质量(BMI)、孕次、产次、血糖代谢、文化程度、职业、家庭收入等一般资料,采用Logistic回归分析法探讨引起GDM患者发生抑郁、焦虑情绪的相关因素。结果Logistic回归分析法结果显示GDM患者的年龄、文化程度、伴有其他妊娠并发症与并发的抑郁及焦虑情绪呈正相关(P<0.05),家庭月收入、对就诊医院的满意度与并发的抑郁及焦虑情绪呈负相关(P<0.05)。结论年龄大、文化程度高、伴有其他妊娠并发症可能是导致GDM患者发生抑郁、焦虑的独立危险因素,家庭月收入高、对就诊医院的满意度高可能在一定程度降低GDM患者发生焦虑抑郁的风险。

Objective To investigate the related factors of depression and anxiety in patients with gestational diabetes mellitus(GDM).Methods A total of 120 pregnant women with GDM with depression and anxiety who had established prenatal registration CARDS in the obstetrics department of our hospital were selected as the case group,and 240 pregnant women with GDM without depression and anxiety during the same period of pregnancy were selected as the control group.General data such as age,pre-pregnancy mass(BMI),pregnancy times,labor times,blood glucose metabolism,education level,occupation and family income of the patients in the two groups were analyzed.Logistic regression analysis was used to analyze the related factors of depression and anxiety in patients with GDM.Results Logistic regression analysis showed that age,education level and other pregnancy complications of patients with GDM were positively correlated with depression and anxiety(P<0.05),and monthly family income and satisfaction with the hospital were negatively correlated with depression and anxiety(P<0.05).Conclusion Age,high education and other pregnancy complications may be independent risk factors for depression and anxiety in patients with GDM.High monthly family income and high satisfaction with the hospital may reduce the risk of anxiety and depression to some extent.