多囊卵巢综合征患者自我管理法研究临床效果评价

Evaluation of the clinical effect of the self-management treatment in the women with polycystic ovarian syndrome

目的:评价多囊卵巢综合征(PCOS)患者自我管理法研究临床效果。方法:按照随机对照试验研究设计,将150例自愿参加该实验的PCOS患者,随机分为干预组75例和对照组75例。对照组接受常规健康教育课程,干预组接受自我管理课程。比较干预组和对照组患者在实施6个月后自我管理行为、自我效能和体重指数改变情况。结果:在实验组与对照组各变量差值比较中,4项运动管理指标具有统计学意义(P<0.05);1项饮食管理指标具有统计学意义(P<0.05);所有依从行为具有统计学意义(P<0.05);2项自我效能指标具有统计学意义(P<0.05)。体重指数、胰岛素和雄激素的下降幅度明显优于对照组,具有统计学意义(P<0.05)。结论:自我管理法实施6个月后可改善患者的自我管理行为、自我效能及代谢指标,PCOS自我管理法具有较强的实用性,它的实施与推广具有一定的社会意义。

Objective：To evaluate the clinical effect of the self-management treatment in the women with polyeystic ovarian syndrome （PCOS）. Methods： 150 voluntears with PCOS were divided into 2 group randomly,and there were 75 women in both control group and experiment group. The women in control group received common healthy education,and the others were trained with self-manage- ment courses. The behavior of self-management,salf--efficacy and body mass index in the two groups were compared after 6 months of treatment. Results：There were significant differences in four athletic management indexes,such as one food management index and all the compliance behaviors in two groups. The depressed degrees of body mass index,insulin and androgen in experiment group were signifieant predominance than those in control group. Conclusion：The self-management treatment could improve the self-management behavior, self-efficacy and metabolism index after 6 months of treatment and it would be practicable.