GDM患者心理压力与应对方式及自护能力的相关性

Correlation of the psychological stress of pregnant women with gestational diabetes mellitus and their coping style and selfcare ability

目的:分析妊娠期糖尿病(GDM)患者心理压力与应对方式及自护能力的相关性。方法:选取2022年9月-2023年10月来本院诊治的GDM患者80例,调查妊娠压力量表评分、简易应对方式量表(SCSQ)评分、自护能力评分,根据妊娠压力量表评分分为有心理压力组与无心理压力组,比较两组基本资料、SCSQ评分、自护能力评分,采用Pearson相关分析法分析心理压力与应对方式及自护能力相关性。结果:80例GDM患者心理压力评分46.78±9.14分,其中有心理压力38例(47.5%),无心理压力42例(52.5%);有心理压力组积极应对评分(24.67±4.35分)低于无心理压力组(29.12±5.03分),消极应对评分(18.06±3.28分)高于无心理压力组(14.17±2.65分),膳食控制、体质量管理、运动管理、药物管理、定期复查与血糖水平监测评分均低于无心理压力组(均P<0.05);相关性分析显示,GDM患者心理压力评分与积极应对评分、自护能力总评分呈负相关,与消极应对评分呈正相关(均P<0.05)。结论:本次调查的GDM患者心理压力中等,其心理压力与应对方式及自护能力具有相关性,提示临床可通过减轻孕妇心理压力,促使其积极应对,提高自护能力。

Objective:To analyze the correlation of the psychological stress of pregnant women with gestational diabetes mellitus(GDM)and their coping style and self-care ability.Methods:80pregnant women with GDM were enrolled in this study From September 2022to October 2023.The pregnancy stress rating scale,the simplified coping style questionnaire(SCSQ),and the self-care scale were used for investigation.The women were divided into group A(women with psychological stress)and group B(women without psychological stress)according to the score of the pregnancy stress rating scale.The basic information,the SCSQ score,and the self-care ability score of the women were compared between the two groups.Pearson correlation analysis was conducted to discuss the correlation of the psychological stress of the women with GDM and their coping style and self-care ability.Results:The psychological stress score of 80women with GDM was 46.78±9.14points,including 38(47.5%)cases in group A and 42(52.5%)cases in group B.The positive coping score(24.67±4.35points)of the women in group A was significantly lower than that(29.12±5.03points)of the women in group B,and the negative coping score(18.06±3.28points)of the women in group A was significantly higher than that(14.17±2.65points)of the women in group B.The scores of diet control,weight management,exercise management,drug management,regular review and blood glucose level monitoring of the women in group A were significantly lower than those of the women in group B(all P<0.05).The correlation analysis showed that the psychological stress score of the women with GDM was negatively correlated with their positive coping score and their total score of self-care ability,and was positively correlated with their negative coping score(all P<0.05).Conclusion:The results of this study show that the psychological stress of the pregnant women with GDM is at medium level,and the psychological pressure of the women is correlated with their coping style and self-care ability,which suggests that the positive coping and self-care ability of the women should be improved by reducing their psychological pressure in clinic.