Relationship between sense of coherence and anxiety-depression in elderly patients with gestational diabetes mellitus / 中国实用护理杂志

ABSTRACT

Objective:To study relationship between sense of coherence and anxiety-depression in elderly patients with gestational diabetes mellitus (GDM).Methods:A total of 360 gestational pregnant women who were admitted to the hospital from November 2018 to January 2019 were enrolled by simple random sampling. The Sense of Coherence Scale (SOC-13), Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were applied to survey them. The scores of SOC-13, SAS and SDS of them were observed. The correlation between sense of coherence and anxiety-depression was analyzed.Results:Among 360 gestational pregnant women, there were 98 cases with age-appropriate GDM (less than 35 years old, age-appropriate GDM group), 159 cases with advanced GDM (not less than 35 years old, advanced GDM group), and 103 advanced non-GDM pregnant women (advanced non-GDM group). Arranging SOC-13 scores from low to high, the corresponding order was advanced GDM group, age-appropriate GDM group and advanced non-GDM group (with scores of 52.25±10.57, 60.18±9.31, 63.24±8.57) ( F value was 45.109, P<0.01). SAS score was the highest in advanced GDM group, followed by age-appropriate GDM group and advanced non-GDM group (50.33±5.85, 45.62±6.77, 42.26±5.34) ( F value was 59.598, P<0.01). SDS score was the highest in advanced GDM group, followed by age-appropriate GDM group and advanced non-GDM group (52.59±5.62, 47.64±4.83, 45.48±4.72) ( F value was 65.419, P<0.01). SOC-13 of 160 advanced GDM patients was negatively correlated with SAS ( runderstanding sense=-0.532, rcontrol sense=-0.653, rsignificance sense=-0.631, rtotal score=-0.735, all P<0.01). And SOC-13 was negatively correlated with SDS ( runderstanding sense=-0.438, rcontrol sense=-0.562, rsignificance sense=-0.581, rtotal score=-0.685, all P<0.01). Conclusions:Sense of coherence in elderly GDM patients is negatively correlated with anxiety and depression. Nursing staff can improve their anxiety and depression by intervening in sense of coherence.