GDM妇女的抑郁、焦虑发生及其相关因素研究

Study on Depression, Anxiety and Related Factors in GDM Women

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(5)
作者
作者单位

妇产科 ;

摘要
探讨妊娠期糖尿病(GDM)妇女发生抑郁、焦虑的相关因素。方法 选取在我院产科建立产前登记卡并确诊为GDM伴有抑郁、焦虑情绪的120例孕妇作为病例组、另外选取同期妊娠的非抑郁、焦虑GDM孕妇240例作为对照组;统计分析两组孕妇的年龄、孕前体质量(BMI)、孕次、产次、血糖代谢、文化程度、职业、家庭收入等基础资料,采用二元Logistic回归分析法探讨引起GDM妇女发生抑郁、焦虑情绪的先关因素。结果 病例组和对照组的年龄、产次、空腹血糖、既往流产史、文化程度、家庭月收入、妊娠合并症、就诊医院的满意度比较,差异具有统计学意义(P<0.05);病例组和对照组的孕前BMI、孕次、计划妊娠、职业方式比较,差异无统计学意义(P>0.05);Logistic回归分析法,结果显示GDM妇女年龄增大、文化程度越高、伴有其他妊娠并发症是并发抑郁及焦虑情绪的独立危险因素(P<0.05),家庭月收入越高、对就诊医院的满意度越高可在一定程度降低GDM妇女发生焦虑抑郁的风险(P<0.05)。结论 引起GDM妇女发生抑郁、焦虑的因素有很多,应该针对这些因素予以干预,降低GDM妇女发生抑郁焦虑的风险。
Abstract
To investigate the related factors of depression and anxiety in women with gestational diabetes mellitus (GDM). Methods: 120 cases of pregnant women who established prenatal registration card in our obstetric department and diagnosed with GDM with depression and anxiety were selected as the case group, and 240 cases of non-depressive and anxious GDM pregnant women who were pregnant during the same period were selected as the control group; statistical analysis of the two groups of pregnant women Age, pre-pregnancy mass (BMI), pregnancy, parity, blood glucose metabolism, education, occupation, family income, and other basic data, using binary logistic regression analysis to explore the key factors that cause depression and anxiety in women with GDM . Results: There was a statistically significant difference in the age, parity, fasting blood glucose, previous abortion history, education level, monthly family income, pregnancy complications, and hospital satisfaction between the case group and the control group (P <0.05); There was no significant difference in the BMI, pregnancies, planned pregnancy, and occupational methods of the control group (P> 0.05). The results of Logistic regression analysis showed that GDM women were older, more educated, and had other pregnancy complications. Syndrome is an independent risk factor for concurrent depression and anxiety (P <0.05). The higher the monthly family income and the higher the satisfaction with the visiting hospital, the lower the risk of anxiety and depression in GDM women (P <0.05). Conclusion: There are many factors that cause depression and anxiety in GDM women, and these factors should be intervened to reduce the risk of depression and anxiety in GDM women.
关键词
妊娠期糖尿病;抑郁;焦虑;相关因素
KeyWord
Gestational diabetes; Depression; Anxiety; Related factors
基金项目
页码 989-991
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李静静*. GDM妇女的抑郁、焦虑发生及其相关因素研究 [J]. 国际精神病学杂志. 2020; 47; (5). 989 - 991.

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