妊娠期糖尿病患者基于二元应对理论的心理干预
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女,硕士在读,护士

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河南省科技攻关项目(162102310562);河南省医学教育研究课题(wjlx2018048)


Psychological intervention based on dyadic coping for patients with gestational diabetes mellitus
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    目的 探讨妊娠期糖尿病患者基于二元应对理论的心理干预效果。 方法 将110例妊娠期糖尿病患者按照时间顺序设为对照组和观察组各55例。对照组给予常规产前指导,观察组在此基础上实施基于二元应对理论的心理干预。干预前和干预8周后评估患者的自我管理能力,血糖及焦虑、抑郁情绪变化。 结果 干预后,观察组患者空腹血糖、餐后2 h血糖、焦虑、抑郁得分显著低于对照组(均P<0.01),自我管理能力得分显著高于对照组(P<0.01)。 结论 应用基于二元应对理论的心理干预有利于提升妊娠期糖尿病患者的自我管理能力,促进血糖控制,降低焦虑、抑郁水平。

    Abstract:

    Objective To explore the effect of a psychological intervention program based on dyadic coping theory on patients with gestational diabetes mellitus (GDM). Methods Totally, 110 GDM women were recruited and divided into 2 groups of 55 cases each, according to the time spans when they were seeking medical help.The control group was given routine prenatal guidance, while the intervention group was subjected to a psychological intervention program developed based on dyadic coping theory.Patients′ self-management ability,fasting blood glucose (FBG) level, 2 h postprandial blood glucose (2 h PG) level, pregnancy-related anxiety and depression were measured before and 8 weeks into the intervention. Results After intervention, the intervention group showed lower level of FBG and 2 h PG, and lower scores of pregnancy-related anxiety and depression, while having higher self-management scores, than the controls (P<0.01 for all). Conclusion The psychological intervention program developed based on dyadic coping theory help improve self-management ability, boost blood glucose control, and reduce the level of pregnancy-related anxiety and depression in GDM patients.

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赵露,顾培培,王俊锋,李玉雪,郑丽萍,李俊玲.妊娠期糖尿病患者基于二元应对理论的心理干预[J].护理学杂志,2021,36(15):67-70

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  • 收稿日期:2021-03-19
  • 最后修改日期:2021-05-20
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  • 在线发布日期: 2022-12-12