Relationship between sense of coherence and anxiety-depression in elderly patients with gestational diabetes mellitus

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. Key words: Gestational diabetes mellitus; Advanced age; Sense of coherence; Anxiety; Depression