健康教育及心理护理干预对肥胖型多囊卵巢综合征患者生活方式的影响研究

The study of the influence of health education and psychological nursing intervention on the life style of patients withobesity type polycystic ovary syndrome

目的探讨健康教育及心理护理干预对肥胖型多囊卵巢综合征(PCOS)患者生活方式的影响。方法将100例肥胖型PCOS患者按照抽签方法随机均分为对照组与观察组各50例,对照组采用常规护理方法,观察组在此基础上采用健康教育及心理护理干预方法,比较2组护理干预前后生活方式的转变情况、生殖内分泌与脂肪代谢相关指标变化情况、心理状况变化情况以及护理干预后生活质量评分。结果 2组护理干预后生活方式(食用低脂食品、加强运动、禁烟/酒、自我疗养、合理用药、自测体重)较护理前均显著改善,且观察组改善程度大于对照组(P<0.05);对照组护理干预前后生殖内分泌及脂肪代谢的相关指标(LH、T、LH/FSH、BMI、FINS及TG)水平差异均无统计学意义(P>0.05),观察组护理干预前后上述指标差异均具有统计学意义(P<0.05);2组护理干预前后SAS及SDS评分差异均具有统计学意义(P<0.05),且护理干预后2组上述评分差异也均具有统计学意义(P<0.05);根据SF-36生活质量评价标准,观察组生活质量评分显著高于对照组,差异具有统计学意义(P<0.05)。结论与常规护理干预方式相比,健康教育及心理护理干预可改善肥胖型PCOS患者生活方式、心理状况及生活质量,应进行推广应用。

Objective To explore the influence of the health education and psychological nursing intervention on the life style of patients with obesity type polycystic ovary syndrome （PCOS）. Methods A total of 100 patients with obesity PCOS were randomly divided into control group and observation group with 50 patients in each. The patients in the control group were given routine nursing method while the patients in the observation group were given health education and psychological nursing intervention based on the routine nursing method. Lifestyle changes and the related change indexes of reproductive endocrine and fat metabolism were compared before and after the nursing intervention. The changes of the psychological status and the life quality scores of the patients in two groups were also compared before and after the nursing intervention. Results Af- ter the nursing intervention, the lifestyle of patients （low - fat food, strengthening exercise, smoking/alcohol inhibition, self nursing, rational drug use, self weight） was improved significant- ly in the two groups, and the improvement in the observation group was greater than that in the control group （P〈0.05）. Compared with the nursing before, the relevant indexes （LH, T, LH/ FSH, BMI, FINS and TG）of reproductive endocrine and fat metabolism after nursing intervention in the control group showed no significant differences （P 〉0.05） after nursing intervention, but the differences of the same indexes in the observation group were statistically significant （ P 〈 0.05）. The differences of SAS and SDS scores of the two groups before and after nursing inter- vention were statistically significant （P 〈 0.05）. Meanwhile, The differences of SAS and SDS scores after nursing intervention of the two groups were statistically significant （P 〈 0.05）. The scores of life quality in the observation group were obviously higher than those in the control group according to the evaluation of SF - 36 standard, which had significant difference （P 〈 0.05）. Conclusion Compared with routine nursing intervention, health education and psychological nursing intervention can improve the life style and psychological status and life quality of the pa- tients with obese PCOS, so it is worthy of popularization and application.