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目的探讨心理干预对妊娠期糖尿病患者血糖及生活质量的影响。方法选择2010年7月至2013年7月我院诊断为妊娠期糖尿病患者120例,按随机数字表法分为两组:干预组(A组)与对照组(B组)。对照组:采用常规的饮食控制以及运动管理。干预组:采用常规的饮食控制以及运动管理基础上加以心理干预。比较观察2组患者治疗后的降糖效果、抑郁水平及生活质量。结果治疗前,两组患者临床资料无显著性差别。治疗后,干预组较对照组比较,餐后2h血糖水平(6.3±1.5)比(7.4±1.6)mmol/L,P<0.05),糖化血红蛋白[(5.6±0.3)比(6.3±0.4)%,t=2.159,P=0.003]下降明显,差异有统计学意义。HAMD评分(23.73±3.74比27.43±4.82,P<0.05),抑郁情绪明显缓解。GQOLI-74评分(73.51±7.52比67.44±7.56,P<0.05),生活质量改善明显。结论心理干预妊娠期糖尿病伴抑郁情绪患者能明显改善患者血糖水平,改善患者抑郁情绪,提高患者生活质量。
Objective To investigate the effect of psychological intervention on blood glucose and quality of life in patients with gestational diabetes mellitus. Methods From July 2010 to July 2013, 120 cases of gestational diabetes diagnosed in our hospital were divided into two groups according to random number table: intervention group (A group) and control group (B group). Control group: using regular diet control and exercise management. Intervention group: using conventional diet control and exercise management based on psychological intervention. The hypoglycemic effect, depression level and quality of life of two groups were observed after treatment. Results Before treatment, the clinical data of the two groups showed no significant difference. After treatment, the levels of HbA1c in the intervention group were (6.3 ± 1.5) vs (7.4 ± 1.6) mmol / L, P < , t = 2.159, P = 0.003] decreased significantly, the difference was statistically significant. HAMD score (23.73 ± 3.74 vs 27.43 ± 4.82, P <0.05), and depression was significantly relieved. GQOLI-74 score (73.51 ± 7.52 vs 67.44 ± 7.56, P <0.05), and the quality of life improved significantly. Conclusion Psychological intervention in patients with gestational diabetes mellitus and depression can significantly improve blood glucose levels, improve depression and improve the quality of life of patients.