接纳承诺疗法对妊娠期糖尿病患者情绪管理的效果研究OA

Objective To analyze the clinical effect of acceptance commitment therapy in emotional management of gesta-tional diabetes mellitus.Methods A total of 120 pregnant women with gestational diabetes admitted to Zhongshan Boai Hospital from March 2021 to March 2023 were selected as the study objects,and they were divided into experimental group(60 cases)and control group(60 cases)according to random number table method.Patients in the control group were treated with conventional health education,while patients in the experimental group were treated with acceptance commitment ther-apy.Blood sugar level,anxiety and depression level,patient satisfaction,pregnancy outcome and adverse reactions were compared between two groups.Results The fasting blood glucose level after nursing and 2 h after eating in experimental group were lower than those in control group,the differences were statistically significant(P＜0.05),and the total effective rate of blood glucose control in experimental group was higher than that in control group,the difference was statistically sig-nificant(P＜0.05).The scores of the Edinburgh postpartum depression scale and Hamilton depression scale in the experi-mental group were lower than those in the control group,the differences were statistically significant(P＜0.05).The life sat-isfaction and happiness scores of the experimental group was higher than that of the control group,and the differences were statistically significant(P＜0.05).The incidence of C-section,macrosomia,pregnancy-induced hypertension and neonatal asphyxia in experimental group were lower than those in control group,and the differences were statistically significant(P＜0.05).The total incidence of adverse reactions in experimental group was lower than that in control group,and the differ-ence was statistically significant(P＜0.05).Conclusion Acceptance commitment therapy in the treatment of gestational di-abetes can effectively improve patients'anxiety,depression and other negative emotions,improve the clinical effect of con-trolling blood sugar level,and can be widely used in clini-cal practice.