心理护理对妊娠期糖尿病孕妇心理改善血糖控制及母婴并发症影响.docVIP

心理护理对妊娠期糖尿病孕妇心理改善血糖控制及母婴并发症影响 　　【摘要】 目的：探讨心理护理对妊娠期糖尿病（GDM）孕妇心理状态改变、血糖控制及母婴并发症的影响。方法：300例GDM孕妇随机分为观察组（n=150）和对照组（n=150），对照组给予常规治疗和护理，观察组在此基础上给予心理护理。采用焦虑自评量表（SAS）、抑郁自评量表（SDS）分别于入院和出院时对两组患者进行心理测评，观察两组GDM孕产妇母婴并发症情况，同时抽取静脉血进行空腹血糖、餐后2 h血糖及糖化血红蛋白等GDM相关代谢指标测定，并进行统计学分析。结果：两组干预后SAS、SDS评分及代谢指标均比干预前降低（P0.05），观察组干预后SAS、SDS评分及代谢指标低于对照组（P0.05），观察组母婴并发症发生率低于对照组（P0.05）。结论：GDM孕妇存在不同程度的心理症状，实施心理干预能有效改善GDM患者的心理状态，改善糖代谢相关指标，同时可以降低GDM相关母婴并发症。 　　【关键词】 妊娠期糖尿病； 心理干预 　　中图分类号 R714.256 文献标识码 B 文章编号 1674-6805（2014）20-0105-03 　　The Influence of Psychological Nursing on Mental State Improvement，Glycemic Control，and Maternal and Neonatal Complication in Pregnant Women with Gestational Diabetes Mellitus/LI Jin-feng，ZENG Hua.//Chinese and Foreign Medical Research，2014，12（20）：105-107 　　【Abstract】 Objective：To investigate the influence of psychological nursing on mental state improvement，glycemic control，and maternal and neonatal complication in pregnant women with gestational diabetes mellitus.Method：300 cases of GDM pregnant women were randomly divided into observation group（n=150） and control group（n=150），the control group was given conventional treatment and nursing，the observation group was given psychological nursing on the basis of conventional treatment and nursing.The self-rating anxiety scale（SAS），self-rating depression scale（SDS） were used for psychological evaluation，blood samples were collected for sugar test，and maternal and neonatal complications were also gotten for statistical analysis.Result：The SAS，SDS scores and metabolic indexes of two groups after intervention were lower than the levels before intervention（P0.05），the SAS，SDS scores and metabolic indexes of observation group after intervention were lower than those of control group（P0.05），the maternal and neonatal complications of observation group were lower than those of control group（P0.05）.Conclusion：GDM pregnant women have different degrees of mental state，psychological nursing is effective on improving mental state and