积极心理资本干预对妊娠期糖尿病合并抑郁患者生活质量临床效果评价

董霞 王爱勤 张健 赵爱英 冯莉

[摘要] 目的 就積极心理资本干预对妊娠期糖尿病合并抑郁患者生活质量所产生的具体影响展开分析与探讨。方法 选择在该院接受治疗的妊娠糖尿病合并抑郁患者60例纳入该次研究，病例选取时间范围为2016年1月—2019年2月，以患者入院顺序的奇偶性为依据对其展开交叉分组，把其中一组称为A组并在其入院后实施常规心理干预，把另一组称为B组并在其入院后实施积极心理资本干预，观察两组患者的干预效果。结果 干预后，B组患者的空腹血糖水平和餐后2 h血糖水平明显较A组患者低;B组患者的乐观、韧性、希望、自我效能心理资本量分别为（9.93±2.46）分、（11.39±1.55）分、（10.06±2.52）分、（5.21±1.39）分，明显高于A组患者的（2.25±0.84）分、（1.94±0.71）分、（2.20±0.87）分、（1.44±0.50）分;B组患者干预后的情感职能、精神健康、活力、情感职能、社会功能和总体健康水平分别为（7.42±1.76）分、（5.36±2.18）分、（4.97±1.74）分、（7.40±1.82）分、（2.95±1.63）分、（4.28±2.33）分，明显较A组患者的（2.93±1.91）分、（1.83±0.51）分、（1.79±0.85）分、（2.89±1.71）分、（1.50±0.87）分、（1.53±0.69）分高（P<0.05）。结论 为妊娠期糖尿病合并抑郁患者实施积极心理资本干预能使之积极情绪得到有效调动，在提升患者自信心的同时改善其生活质量。

[关键词] 积极心理资本干预;妊娠期糖尿病;抑郁;生活质量;临床效果

[中图分类号] R473          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0099-03

Evaluation of Clinical Effect of Positive Psychological Capital Intervention on Quality of Life in Patients with Gestational Diabetes Mellitus and Depression

DONG Xia1， WANG Ai-qin2， ZHANG Jian2， ZHAO Ai-ying2， FENG Li3

1.Department of Traditional Chinese Medicine Rehabilitation， Qingzhou People's Hospital， Qingzhou， Shandong Province， 262500 China; 2.Department of Obstetrics， Guangrao County People's Hospital， Guangrao， Shandong Province，  257300 China; 3.Department of Obstetrics， Qingzhou People's Hospital of Shandong Province， Qingzhou， Shandong Province， 262500 China

[Abstract] Objective To analyze and discuss the specific impact of positive psychological capital intervention on the quality of life of patients with gestational diabetes mellitus and depression. Methods Sixty patients with gestational diabetes and depression who were treated in the hospital were selected for this study. The cases were selected from January 2016 to February 2019， and the patients were cross-grouped based on the parity of the admission order. One group was called group A and routine psychological intervention was performed after admission， and the other group was group B and positive psychological capital intervention was implemented after admission. Observe the intervention effect of the two groups of patients. Results After the intervention， the fasting blood glucose level and 2 h postprandial blood glucose level of patients in group B were significantly lower than those in group A. The psychological capital of patients in group B was （9.93±2.46） points， （11.39±1.55） points， （10.06±2.52） points， and （5.21±1.39） points， which were significantly higher than the （2.25±0.84） points， （1.94±0.71） points， （2.20±0.87） points， and （1.44± 0.50） points; the emotional function， mental health， vitality， emotional function， social function and overall health level of patients in group B after intervention were （7.42±1.76） points， （5.36±2.18） points， （4.97±1.74） points （7.40±1.82） points， （2.95±1.63） points， （4.28±2.33） points， which are significantly higher than the （2.93±1.91） points， （1.83±0.51） points， （1.79±0.85） points， （2.89±1.71） points， （1.50±0.87） points， （1.53±0.69） points （P<0.05）. Conclusion Implementing positive psychological capital intervention for patients with gestational diabetes mellitus and depression can effectively mobilize their positive emotions and improve their self-confidence while improving their quality of life.

[Key words] Positive psychological capital intervention; Gestational diabetes; Depression; Quality of life; Clinical effect

妊娠期糖尿病在临床范围内属于一种高危妊娠，无论对于妊娠期女性来说抑或对其腹中胎儿来说皆可产生不良影响，导致发生不良妊娠结局。现如今，我国社会经济水平持续提升，广大人民群众的生活方式也较之前发生了较大改变。目前我国临床范围内新检出的妊娠糖尿病患者数量持续增加，因妊娠糖尿病病情的复杂性，其中有较大一部分患者会同时合并抑郁症状，不仅会严重影响患者的身心健康、增加其所面临的不良妊娠结局发生几率、影响其负重胎儿的正常发育，还会在很大程度上降低患者的生活质量。……