Feitosa Alina Coutinho Rodrigues, Sampaio Luciana Nunes, Batista Ana Graciele Lessa, Pinheiro Carla Borges
Ambulatory of Endocrinopathies, Departament of Obstetrics, Maternidade de Referência Professor José Maria de Magalhães Netto, Salvador, BA, Brazil.
Rev Bras Ginecol Obstet. 2013 Mar;35(3):111-6. doi: 10.1590/s0100-72032013000300004.
To evaluate the frequency of fear of needles and the impact of a multidisciplinary educational program in women with pre-gestational and gestational diabetes taking insulin during pregnancy.
The short Diabetes Fear of Injecting and Self-testing Questionnaire (D-FISQ), composed by two subscales that access fear of self injection (FSI) and fear of self testing (FST), was administered twice during pregnancy to 65 pregnant women with pre-gestational and gestational diabetes: at the first endocrine consult and within the last two weeks of pregnancy or postpartum. An organized multidisciplinary program provided diabetes education during pregnancy. Statistical analysis was carried out by Wilcoxon and McNemar tests and Spearman correlation. A p<0.05 was considered to be significant.
Data from the short D-FISQ questionnaire shows that 43.1% of pregnant women were afraid of needles in the first evaluation. There was a significant reduction in scores for FSI and FST subscales between the first and second assessments (first FSI 38.5% compared with second 12.7%, p=0.001; first FST 27.7% compared with second FST 14.3%, p=0.012).
The fear of needles is common in pregnant women on insulin therapy and an organized multidisciplinary educational diabetes program applied during pregnancy reduces scores of such fear.
评估孕前及孕期糖尿病孕妇对针头的恐惧频率，以及多学科教育项目对其在孕期使用胰岛素的影响。
采用简短的糖尿病注射及自我检测恐惧问卷（D-FISQ），该问卷由评估自我注射恐惧（FSI）和自我检测恐惧（FST）的两个子量表组成，在孕期对65名孕前及孕期糖尿病孕妇进行了两次调查：第一次在内分泌初诊时，第二次在妊娠最后两周或产后。一项有组织的多学科项目在孕期提供糖尿病教育。通过Wilcoxon检验、McNemar检验和Spearman相关性分析进行统计分析。p<0.05被认为具有统计学意义。
简短D-FISQ问卷的数据显示，43.1%的孕妇在首次评估时害怕针头。第一次和第二次评估之间，FSI和FST子量表的得分显著降低（首次FSI为38.5%，第二次为12.7%，p=0.001；首次FST为27.7%，第二次FST为14.3%，p=0.012）。
胰岛素治疗的孕妇对针头的恐惧很常见，孕期实施有组织的多学科糖尿病教育项目可降低此类恐惧得分。
