妊娠期糖尿病患者发生产前焦虑抑郁的影响因素

Influencing factors of prenatal anxiety and depression in patients with gestational diabetes mellitus

目的:分析妊娠期糖尿病(GDM)患者发生产前焦虑抑郁的影响因素。方法:选取2019年5月至2021年6月该院收治的60例GDM患者进行前瞻性研究。统计GDM患者发生产前焦虑抑郁情况,采用Logistic回归分析GDM患者发生产前焦虑抑郁的影响因素。结果:60例GDM患者中,发生产前焦虑抑郁20例,占33.33%,设为发生组,未发生产前焦虑抑郁40例,占66.67%,设为未发生组;发生组年龄、体质量指数、既往流产史、孕前检查、居住地、独生子女、计划怀孕、家庭人均月收入与未发生组比较,差异均无统计学意义(P>0.05);发生组受教育程度为初中及以下、存在其他妊娠合并症、产次≤1次、社会支持度一般占比均高于未发生组,差异有统计学意义(P<0.05);经Logistic回归分析显示,受教育程度为初中及以下、存在其他妊娠合并症、产次≤1次、具有一般社会支持度均为影响GDM患者发生产前焦虑抑郁的危险因素(OR>1,P<0.05)。结论:受教育程度为初中及以下、存在其他妊娠合并症、产次≤1次、具有一般社会支持度均为影响GDM患者发生产前焦虑抑郁的危险因素。

Objective:To analyze influencing factors of prenatal anxiety and depression in patients with gestational diabetes mellitus(GDM).Methods:A prospective study was conducted on 60 patients with GDM admitted to the hospital from May 2019 to June 2021.The prenatal anxiety and depression conditions of these GDM patients were statistically analyzed.Logistic regression was used to analyze the influencing factors of prenatal anxiety and depression in the GDM patients.Results:Among the 60 GDM patients,20 cases(33.33%)had prenatal anxiety and depression and were set as occurrence group,and 40 cases(66.67%)had no prenatal anxiety and depression and were set as non-occurrence group.There were no significant differences in age,BMI,previous abortion history,pre-pregnancy examination,place of residence,only child,planned pregnancy and family per capita monthly income between the two groups(P>0.05).The proportions of the patients with education level of junior high school and below,combined other pregnancy complications,parity≤1 and general social support in the occurrence group were higher than those in the nonoccurrence group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that the education level of junior high school and below,combined other pregnancy complications,parity≤1,and general social support were the risk factors of prenatal anxiety and depression in the GDM patients(OR>1,P<0.05).Conclusions:The education level of junior high school and below,combined other pregnancy complications,parity≤1,and general social support are the risk factors of prenatal anxiety and depression in the GDM patients。