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目的探讨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及血糖的影响。方法选取2014年9月-2016年6月在吉林大学第一医院和吉林大学第二医院确诊的70例妊娠糖尿病伴抑郁患者为研究对象。随机分为观察组和对照组,每组35例。观察组给予积极心理资本干预,对照组给予常规心理干预,比较干预后两组患者的生活质量和心理资本量,两组患者干预前后糖化血红蛋白、空腹血糖值情况。结果积极心理资本干预后,观察组患者生理职能、社会功能、情感职能、活力、精神健康、总体健康等生活质量及积极心理资本量(乐观、希望、韧性、自我效能)程度明显高于对照组患者(P<0.01);干预后,观察组患者空腹血糖下降值大于对照组患者(P<0.05)。结论积极心理资本干预可以提高妊娠期糖尿病合并抑郁患者的生活质量,调动患者积极情绪,增加患者自信心。
Objective To explore the influence of positive psychological capital intervention on quality of life and blood glucose in patients with gestational diabetes mellitus complicated with depression. Methods Seventy patients with gestational diabetes mellitus and depression diagnosed at First Hospital of Jilin University and Second Hospital of Jilin University from September 2014 to June 2016 were selected as the study subjects. Randomly divided into observation group and control group, 35 cases in each group. The observation group was given active psychological capital intervention, while the control group was given routine psychological intervention. The quality of life and psychological capital of the two groups were compared after intervention. The levels of HbA1c and fasting blood glucose before and after the intervention were compared between the two groups. Results After positive psychological capital intervention, the quality of life and the amount of positive psychological capital (optimism, hope, resilience, self-efficacy) of the patients in the observation group were significantly higher than those in the control group in physical function, social function, emotional function, vitality, mental health and overall health (P <0.01). After intervention, the decrease of fasting blood glucose in the observation group was larger than that in the control group (P <0.05). Conclusion Positive psychological capital intervention can improve the quality of life of patients with gestational diabetes mellitus and depression, arouse the positive emotions of patients and increase their self-confidence.