妊娠糖尿病孕妇自我调节疲劳现状及影响因素研究

蔡锋成; 徐萌艳; 刘蓓; 吴映瑛

doi:10.16766/j.cnki.issn.1674-4152.004130

妊娠糖尿病孕妇自我调节疲劳现状及影响因素研究

doi: 10.16766/j.cnki.issn.1674-4152.004130

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 2024KY226

浙江省中医药科技计划项目 2024ZL739

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：caifengchenvip@163.com

中图分类号: R741.256 R781.64
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- 文章访问数: 9
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- 被引次数: 0
出版历程
- 收稿日期: 2024-09-18
- 网络出版日期: 2025-10-31

Study on the status and influencing factors of self-regulation fatigue in pregnant women with gestational diabetes

Department of Obstetrics, Hangzhou Obstetrics and Gynecology Hospital, Hangzhou, Zhejiang 310008, China

摘要

摘要: 目的分析妊娠糖尿病(GDM)孕妇自我调节疲劳的影响因素，为GDM孕妇的健康管理提供参考。方法选取2024年1—6月在杭州市妇产科医院建档产检的GDM孕妇为研究对象。采用一般资料调查表收集孕妇人口学信息；采用自我调节疲劳量表(SRF-S)评估自我调节疲劳水平；采用一般自我效能感量表(GSES)、心理弹性量表(CD-RISC)和社会支持评定量表评估GDM孕妇自我效能、心理弹性及社会支持水平。采用单因素分析及多重线性回归模型筛查GDM孕妇自我调节疲劳的影响因素。结果 GDM孕妇SRFS得分为(47.20±8.53)分，GSES得分为(23.60±4.15)分，CD-RISC得分为(59.70±11.66)分。GSES得分、CD-RISC得分与SRFS呈负相关关系(r=-0.509、-0.487)。多重线性回归分析显示，文化程度(大专及以上: β=-0.196)、家庭人均月收入(>5 000元，β=-0.214)、孕周(≥28周，β=0.259)、社会支持水平(中：β=-0.108；高：β=-0.287)、自我效能感(β=-0.135)、心理弹性(β=-0.116)均为GDM孕妇自我调节疲劳的影响因素(P<0.05)。结论 GDM孕妇自我调节疲劳水平较高，应重视GDM孕妇自我调节疲劳的评估，并针对性制定个体化的干预策略，提升其自我效能和社会支持，以降低其自我调节疲劳。
- 妊娠期糖尿病 /
- 孕妇 /
- 自我调节疲劳 /
- 自我效能感 /
- 社会支持
Abstract: Objective To understand the factors influencing self-regulation fatigue in pregnant women with gestational diabetes mellitus (GDM) and provide a reference for their health management. Methods The GDM pregnant women registered at Hangzhou Obstetrics and Gynecology Hospital from January to June 2024 were selected as the research objects. Demographic information was collected using a general data questionnaire. The self-regulatory fatigue was assessed using the self-regulatory fatigue scale (SRF-S). The general self-efficacy scale (GSES), psychological resilience scale (CD-RISC), and social support rating scale were used to assess self-efficacy, resilience, and social support in pregnant women with GDM, respectively. Univariate analysis and multiple linear regression models were used to identify factors affecting self-regulatory fatigue in pregnant women with GDM. Results SRFS score was (47.20±8.53) points, GSE score was (23.60±4.15) points, and CD-RISC score was (59.70±11.66) points. GSES score and CD-RISC scores were negatively correlated with SRFS (r=-0.509, -0.487, respectively). Multiple linear regression analysis indicated that education level (college degree or above, β=-0.196), per capita monthly household income (>5 000 yuan, β=-0.214), gestational age (≥28 weeks, β=0.259), social support level (medium: β=-0.108; high: β=-0.287), self-efficacy (β=-0.135), and psychological resilience (β=-0.116) were significant factors affecting self-regulation fatigue (P<0.05). Conclusion GDM have a high level of self-regulation fatigue. Attention should be formulated to enhance self-efficacy and social support, thereby reducing their self-regulation fatigue.
- Gestational diabetes /
- Pregnant women /
- Self-regulation fatigue /
- Self-efficacy /
- Social support

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表 1 不同特征GDM孕妇SRFS得分比较(x±s, 分)

Table 1. Comparison of SRFS scores of GDM pregnant women with different characteristics(x±s, points)

项目	例数	自我调节疲劳总分	统计量	P值
年龄			1.987^a	0.048
＜35岁	226	46.67±8.30
≥35岁	80	48.65±5.42
文化程度			3.946^a	< 0.001
高中及以下	102	49.50±6.61
大专及以上	204	46.03±7.55
居住地			1.023^a	0.307
城市	263	47.01±8.49
农村	43	48.36±4.05
工作状态			1.667^a	0.048
在职	241	47.58±8.11
非在职	65	45.75±6.83
家庭人均月收入			3.689^a	< 0.001
＜5 000元	89	49.69±6.87
＞5 000元	217	46.14±7.94
妊娠方式			1.348^a	0.089
自然受孕	264	46.92±8.15
非自然受孕	42	48.65±4.09
流产史			0.775^a	0.219
有	74	47.80±6.74
无	232	47.01±7.90
孕周			3.543^a	< 0.001
＜28周	81	44.62±7.01
≥28周	225	48.13±7.86
产次			2.042^a	0.021
初产妇	190	47.85±7.33
经产妇	116	46.12±6.95
睡眠时长			1.356^a	0.088
＜8 h	70	48.19±6.14
≥8 h	236	46.90±7.22
糖尿病家族史			0.445^a	0.328
有	44	47.63±5.06
无	262	47.08±7.93
社会支持水平			10.012^b	< 0.001
低	39	49.96±3.85
中	172	47.58±6.74
高	95	45.20±5.13
注：^a为t值，^b为F值。

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表 2 变量赋值情况

Table 2. Assignment of independent variables

变量	赋值方法
年龄	＜35岁=1，≥35岁=2
文化程度	高中及以下=1，大专及以上=2
工作状况	在职=1，非在职=2
家庭人均月收入	＜5 000元=1，＞5 000元=2
产次	初产妇=1，经产妇=2
孕周	＜28周=1，≥28周=2
GSES得分	连续性变量，以实际值赋值
CD-RISC得分	连续性变量，以实际值赋值
社会支持水平	低=0，中=1，高=2

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表 3 GDM孕妇自我调节疲劳影响因素的多重线性回归分析

Table 3. Multivariate linear regression analysis of factors influencing self-regulating fatigue in pregnant women with gestational diabetes mellitus (GDM)

变量	B	SE	β	t值	P值
孕周	2.010	0.507	0.259	3.964	< 0.001
文化程度	-1.433	0.469	-0.196	-3.056	0.003
家庭人均月收入	-1.618	0.481	-0.214	-3.363	0.001
社会支持(以低为参照)
中	-0.972	0.363	-0.108	-2.677	0.010
高	-2.141	0.512	-0.287	-4.181	< 0.001
GSES得分	-0.213	0.076	-0.135	-2.803	0.005
CD-RISC得分	-0.146	0.053	-0.116	-2.754	0.007
注：本表仅列出差异有统计学意义的变量。

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