怀孕期糖尿病-PsychDiab试点研究中的疾病感知和心理健康
Claudia Rieß1, Yvonne Heimann1, Ekkehard Schleußner1
1Department of Obstetrics, University Hospital Jena, Friedrich-Schiller-University, 07747 Jena, Germany.
Journal of clinical medicine
|May 27, 2023
概括
怀孕期糖尿病诊断给孕妇带来负担,尤其是那些精神困扰的孕妇. 早期对心理问题的查可以改善怀孕期间的幸福感.
科学领域:
- 产科和妇科 产科和妇科
- 围产期心理健康问题
- 内分泌学 在内分泌学.
背景情况:
- 妊娠期糖尿病 (GDM) 诊断可能会对孕妇的健康产生负面影响.
- GDM与心理健康障碍有关,这表明心理痛苦和疾病负担之间存在联系.
- 了解患者的感知和敏感性对于有效管理GDM至关重要.
研究的目的:
- 评估妊娠糖尿病诊断对孕妇幸福感,敏感性和疾病感知的影响.
- 调查GDM妇女中先前存在的精神困扰和疾病负担之间的关系.
- 评估Psych-Diab问卷在评估GDM患者的幸福感和疾病感知方面的有用性.
主要方法:
- 对为GDM治疗的患者进行了回顾性调查.
- 使用自己设计的心理诊断问卷和SCL-R-90进行心理痛苦评估.
- 分析了在GDM治疗期间心理痛苦和幸福感之间的关联.
主要成果:
- 达到了30% (77/257) 的反应率.
- 13%的患者 (n=10) 表现出心理困扰.
- 患有高危情绪的患者报告了更高的疾病负担,对血糖控制和胎儿健康的担忧,以及减少怀孕舒适度.
结论:
- 建议在怀孕期间进行心理健康问题的查,类似于产后抑郁症查.
- 识别和支持心理困扰患者可以改善结果.
- 心理诊断问卷是评估GDM患者疾病感知和幸福感的合适工具.
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