常见的精神障碍与妊娠糖尿病妇女的血糖控制之间的关联:一种混合方法研究
Bhanushree Soni1, Venkatachalam Jayaseelan1, Shivanand Kattimani2
1Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Indian journal of psychiatry
|October 16, 2023
概括
常见的精神障碍影响近20%的孕期糖尿病 (GDM) 妇女,对血糖控制产生负面影响. 在产前诊所进行早期查对于管理这些疾病并改善母亲和婴儿的结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 精神病学是一个精神病学.
- 内分泌学 在内分泌学.
背景情况:
- 妊娠期糖尿病 (GDM) 与孕妇患精神健康问题的风险更高有关.
- 在GDM患者中,精神健康不佳可能会使血糖控制恶化,给母亲和孩子带来风险.
研究的目的:
- 评估诊断为GDM的女性中常见精神障碍 (CMD) 的患病率.
- 在这个人群中调查CMD和低于最佳的血糖控制之间的关联.
- 探索GDM女性中与CMD相关的潜在原因和应对机制.
主要方法:
- 一项连续的解释性混合方法研究涉及351名患有GDM的女性.
- 使用GAD-7,PHQ-9和PSS测量CMD的患病率;通过食后血糖水平评估血糖控制.
- 与一小部分参与者进行了定性访谈;使用统计软件和回归模型分析数据.
主要成果:
- 冠状动脉疾病的患病率为19.08%,有显著的焦虑和抑郁症状.
- 脑血管疾病与血糖控制不良显著相关 (aPR:1.58,P <0.001).
- 定性发现突出了影响心理健康和血糖控制的个人,家庭,卫生系统和设施级因素.
结论:
- 在患有GDM的女性中,常见的心理健康障碍很常见,与血糖控制有负相关性.
- 在产前护理 (ANC) 诊所进行常规的CMD查可以促进早期检测和管理.
- 对GDM患者的CMD及时干预对于减轻母亲和婴儿的相关并发症至关重要.
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