The pregnancy-related anxiety characteristics in women with gestational diabetes mellitus: why should we care?

BMC Pregnancy and Childbirth

Li Fu¹  Tingting Qiao²  Shuping You³  Palida Maimaiti³  Feng Fu³  Xinmin Mao³  Yali Dai³  Ping Yan³  Yanni Wang³ 

[1] Emergency Trauma Center, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China;Reproductive Medicine Center, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China;School of Nursing, Xinjiang Medical University, No. 567, Shangde North Road, 830000, Urumqi, Xinjiang, China;

关键词: Anxiety;    Gestational diabetes mellitus;    Pregnancy;    Care;    Management;   

DOI  :  10.1186/s12884-021-03887-2

来源: Springer

【 摘 要 】

BackgroundGestational diabetes mellitus (GDM) is very commonly-seen in clinical settings, and GDM patients may have higher levels of anxiety. It’s necessary to evaluate the anxiety level and potentially influencing factors in patients with GDM, to provide insights for the management of anxiety of GDM patients.MethodsPatients with GDM treated in our hospital from May, 2018 to May, 2020 were included. We evaluated the characteristics of patients and the scores of pregnancy-related anxiety scale for anxiety level, vulnerable personality style questionnaire (VPSQ) for personality, general self-efficacy scale (GSES) for self-efficacy, social support rating scale (SSRS) for social support level. Logistic regression analyses were conducted to identify the potential influencing factors of anxiety in GDM patients.ResultsA total of 386 GDM patients were included, the incidence of anxiety in patients with GDM was 59.07%. Anxiety was positively correlated with the susceptible personality (r = 0.604, p = 0.023), and it was negatively correlated with self-efficacy and social support (r = -0.586 and -0.598 respectively, all p < 0.05). The education level, monthly income, abnormal pregnancy (miscarriage, premature rupture of membranes) and cesarean section history and first pregnancy were the independent influencing factors for the anxiety in the patients with GDM (all p < 0.05).ConclusionsThe anxiety of GDM patients is very common, early care and interventions are warranted for those patients with abnormal pregnancy and cesarean section history, first pregnancy, lower education level, and less monthly income.

【 授权许可】

CC BY