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| Correlation between the psychological pressure of pregnant women with gestational diabetes mellitus and their coping style and self-care ability |
| The First People's Hospital of Huai 'an, Huai 'an, Jiangsu Province, 223300 |
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Abstract To explore the correlation between the psychological pressure of pregnant women with gestational diabetes mellitus(GDM) and their coping style and self-care ability. Methods: A total of 108 pregnant women with GDM admitted to the hospital from October 2020 to October 2023 were selected in this study. The baseline data survey scale, the pregnancy stress scale(PPS), the simple coping style scale(SCSQ) and the self-care ability scale(ESCA) were used to investigate the basic characteristics, the psychological pressure, the coping style and the self-care ability of the women. The difference of PPS score was compared among the women with GDM and with different baseline characteristics. Pearson correlation coefficient model was used to analyze the correlation between the SCSQ and ESCA scores of the women with GDM and their PPS score. Multiple linear stepwise regression analysis model was used to explore the influencing factors of the psychological pressure of the women with GDM. Results: A total of 108 questionnaires were distributed and 105 valid questionnaires were collected, with an effective rate of 97.2%. The PPS score of the women with GDM was 39-74 points, with an average of 54.02±14.37 points. The highest average score of each item of PPS of the women was the stress caused by ensuring the health and safety of mother and child. There was significant difference in the PPS score among the women with different ages, between the women with and without planned pregnancy, among the women with different family monthly income, among the women with different maternal type and between the women with and without abortion history(P<0.05). In the SCSQ scale, the scores of positive coping and negative coping of the women were 23.57±4.92 points and 11.93±1.68 points. The ESCA score of the women was 84.26±13.80 points. Pearson correlation coefficient model analysis showed that the positive coping score and the ESCA score in SCSQ scale of the women with GDM were negatively correlated with their PPS score, while the negative coping score in SCSQ scale of the women with GDM was positively correlated with their PPS score(P<0.05). Due to the obvious collinearity between the SCSQ score of the women and their ESCA score, so both the scores of SCSQ and ESCA of the women were included in the multiple linear stepwise regression model, and the results showed that the SCSQ score was included in this model, the unplanned pregnancy, the primiparity, the abortion history, the low score of positive coping and the high score of negative coping in SCSQ scale of the women with GDM were the main influencing factors of their psychological stress, and in the model of ESCA score, the unplanned pregnancy, the primiparity, the abortion history, the low score of ESCA of the women with GDM were the main influencing factors of their psychological stress(all P<0.05). Conclusion: The psychological pressure of the women with GDM is obvious, and which is closely related to the coping style and the self-care ability of the women. Improving the coping style and the self-care ability of the women may be the potential way to reduce the psychological pressure of the women.
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