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目的:分析妊娠期糖尿病焦虑情绪对孕产妇血糖造成的影响,并探索心理干预联合生物反馈训练的干预效果。方法:收集本院产科病房2015年1月-2017年1月间接收的患妊娠期糖尿病的110例孕产妇,通过汉密尔顿焦虑量表(HAMA)对所有孕产妇的心理状态进行评估,且按照评分结果将其中评分≥14分的18例孕产妇分成研究组,评分<14分的92例孕产妇分为对照组。两组孕产妇均常用产科护理服务,研究组在此基础上加用心理干预联合生物反馈训练。观察两组护理前的血糖指标情况,以分析焦虑情绪对孕产妇血糖的影响,同时评估两组护理前、后的HAMA评分变化,并观察两组的围生期结局情况。结果:研究组的空腹血糖、餐后2h血糖及糖化血红蛋白等指标与对照组相比明显更高(t=2.0677,4.6560,2.0494;P<0.05);研究组护理后的HAMA评分与护理前、对照组相比显著更低(t=16.8259,-10.1203;P<0.05);两组的剖宫产率、产后出血量、新生儿体重及并发症发生率对比差异不显著。结论:焦虑情绪会提高妊娠期糖尿病孕产妇的血糖水平,而通过心理干预联合生物反馈训练可有效缓解孕产妇的焦虑情绪,改善围生期结局。
Objective: To analyze the influence of anxiety in gestational diabetes on the blood sugar of pregnant women, and explore the intervention effect of psychological intervention combined with biofeedback training. Methods: A total of 110 pregnant women with gestational diabetes mellitus who received obstetrics ward in our hospital from January 2015 to January 2017 were enrolled in this study. The psychological status of all pregnant women was evaluated by Hamilton Anxiety Scale (HAMA) Results 18 maternal women with a score ≥14 were divided into study group and 92 maternal women with a score <14 were divided into control group. Two groups of pregnant women are often used obstetric care services, the study group on the basis of psychological intervention combined with biofeedback training. The two groups were observed before the care of blood glucose indicators to analyze the impact of anxiety on maternal blood sugar, while assessing the two groups before and after care HAMA score changes and observed the two groups of perinatal outcome. Results: The fasting blood glucose, 2h postprandial blood glucose and glycosylated hemoglobin were significantly higher in the study group than those in the control group (t = 2.0677,4.6560,2.0494; P <0.05). The HAMA scores of the study group before nursing, (T = 16.8259, -10.1203; P <0.05). There was no significant difference in incidence of cesarean section, postpartum hemorrhage, neonatal body weight and complication between the two groups. Conclusion: Anxiety can improve blood glucose level of pregnant women with gestational diabetes mellitus, and psychological intervention combined with biofeedback training can effectively relieve the anxiety of pregnant women and improve perinatal outcome.