基于二元应对的心理干预对妊娠期糖尿病患者自我管理能力及负性情绪的影响

刘蓓; 蔡锋成; 陈红; 叶俊花; 徐萌艳

doi:10.16766/j.cnki.issn.1674-4152.003210

基于二元应对的心理干预对妊娠期糖尿病患者自我管理能力及负性情绪的影响

doi: 10.16766/j.cnki.issn.1674-4152.003210

刘蓓^{1, 2},
蔡锋成^{1, 2},
陈红²,
叶俊花²,
徐萌艳^2, ,

1.
浙江中医药大学护理学院, 浙江杭州 310053
2.
杭州市妇产科医院产科, 浙江杭州 310008

基金项目:

浙江省医药卫生科技计划项目 2023KY204

杭州市医药卫生科技计划项目 A20220046

详细信息

通讯作者:
徐萌艳，E-mail: 2010576268@qq.com

中图分类号: R714.256 R715.3
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- 文章访问数: 217
- HTML全文浏览量: 75
- PDF下载量: 12
- 被引次数: 0
出版历程
- 收稿日期: 2023-02-13
- 网络出版日期: 2023-11-23

Effect of psychological intervention based on binary coping on self-management ability and negative emotions in patients with gestational diabetes mellitus

LIU Bei^{1, 2},
CAI Fengcheng^{1, 2},
CHEN Hong²,
YE Junhua²,
XU Mengyan^{2
, ,}

1.
School of Nursing, Zhejiang Traditional Chinese Medicine University, Hangzhou, Zhejiang 310053, China

摘要

摘要: 目的探讨基于二元应对的心理干预方案对妊娠期糖尿病(GDM)患者自我管理能力、血糖控制水平及负性情绪的影响，为GDM孕妇的健康管理提供参考。方法选取2022年6—10月杭州市妇产科医院门诊建卡的100例GDM患者，按随机数字表法分为观察组(50例)和对照组(50例)。对照组予以常规孕期健康宣教和心理疏导，观察组在此基础上予以基于二元应对理论心理干预方案。记录比较2组干预前后自我管理能力、负性情绪及血糖水平。结果干预后，观察组GDM患者自我管理能力得分[(105.29±6.02)分]高于对照组[(92.49±5.34)分]，差异有统计学意义(t=10.955，P < 0.05)；观察组空腹血糖[(4.82±0.71)mmol/L]、餐后2 h血糖[(6.19±1.08)mmol/L]均低于对照组[(5.20±0.69)mmol/L、(8.01±1.21)mmol/L]，差异均有统计学意义(t=2.645、7.738，均P < 0.05)；观察组患者焦虑自评量表得分[(50.77±3.92)分]、抑郁自评量表得分[(52.50±4.32)分]均低于对照组[(58.40±4.34)分、(60.81±4.96)分]，差异有统计学意义(t=8.996、8.713，均P < 0.05)。结论基于二元应对的心理干预方案能有效提升GDM患者自我管理能力，降低焦虑、抑郁水平，改善血糖控制水平。
- 妊娠期糖尿病 /
- 二元应对 /
- 自我管理能力 /
- 血糖水平
Abstract: Objective To explore the effect of psychological intervention program based on dual coping in gestational diabetes mellitus (GDM) patients, and provide a reference for the health management of pregnant women with GDM. Methods A total of 100 patients with GDM who had established GDM cards from June 2022 to October 2022 in Hangzhou Women ' s Hospital were selected and divided into observation group (50 cases) and control group (50 cases) according to random number table. The control group was given routine antenatal examination and health education in Outpatient Department, and the observation group was given psychological intervention program based on binary coping theory. The self-management ability, negative emotions, fasting blood glucose and 2 h postprandial blood glucose levels were recorded and compared between the two groups before and after the intervention. Results After the intervention, the score of self-management ability of GDM patients in the observation group [(105.29±6.02) points] was higher than that of the control group [(92.49±5.34) points], with statistically significant difference (t=10.955, P < 0.05); Fasting blood glucose [(4.82±0.71) mmol/L] and 2 h postprandial glucose (6.19±1.08) mmol/L in the observation group were lower than those in the control group [(5.20±0.69) mmol/L and (8.01±1.21) mmol/L], and the differences were all statistically significant (t=2.645, 7.738, all P < 0.05). The SAS [(50.77±3.92) points], [SDS (52.50±4.32) points] in the observation group were lower than those in the control group [(58.40±4.34) points, (60.81±4.96) points, t=8.996, 8.713, all P < 0.05]. Conclusion The psychological intervention program based on binary coping can effectively improve the self-management ability of GDM patients, reduce the level of anxiety and depression, and improve the level of blood glucose control.
- Gestational diabetes mellitus /
- Binary coping /
- Self-management ability /
- Blood glucose level

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表 1 2组孕妇一般情况比较

Table 1. Comparison of general conditions between two groups of pregnant women

组别	例数	年龄(x ±s，岁)	体重指数(x ±s)	孕周(x ±s，周)	文化程度(高中/大专及以上，例)
观察组	50	28.77±4.02	25.03±2.81	25.73±1.52	6/44
对照组	50	28.10±3.61	25.49±3.27	26.05±1.64	9/41
统计量		0.877^a	0.754^a	1.011^a	0.706^b
P值		0.382	0.452	0.314	0.481
注：^a为t值，^b为χ²值。

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表 2 2组妊娠期糖尿病患者自我管理能力得分比较(x ±s，分)

Table 2. Comparison of self-management ability scores between two groups of patients with gestational diabetes mellitus (x ±s, points)

组别	例数	干预前	干预后
对照组	47	88.70±5.29	92.49±5.34^a
观察组	48	90.13±5.61	105.29±6.02^a
t值		1.278	10.955
P值		0.205	< 0.001
注：与同组干预前比较，^aP < 0.05。

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表 3 2组妊娠期糖尿病患者干预前后血糖水平比较(x ±s，mmol/L)

Table 3. Comparison of blood glucose levels between two groups of gestational diabetes patients before and after intervention (x ±s, mmol/L)

组别	例数	空腹血糖		餐后2 h血糖
组别	例数	干预前	干预后	干预前	干预后
对照组	47	5.38±0.92	5.20±0.69	9.03±1.09	8.01±1.21^a
观察组	48	5.25±0.88	4.82±0.71^a	9.10±1.15	6.19±1.08^a
t值		0.704	2.645	0.304	7.738
P值		0.483	0.010	0.761	< 0.001
注：与同组干预前比较，^aP < 0.05。

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表 4 2组妊娠期糖尿病患者干预前后负性情绪比较(x ±s，分)

Table 4. Comparison of negative emotions between two groups of gestational diabetes patients before and after intervention (x ±s, points)

组别	例数	SAS得分		SDS得分
组别	例数	干预前	干预后	干预前	干预后
对照组	47	62.75±5.26	58.40±4.34^a	65.33±5.41	60.81±4.96^a
观察组	48	63.40±5.58	50.77±3.92^a	66.01±5.25	52.50±4.32^a
t值		0.584	8.996	0.622	8.713
P值		0.561	< 0.001	0.536	< 0.001
注：与同组干预前比较，^aP < 0.05。

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