以行为转变理论为指导的干预模式在肥胖型多囊卵巢综合征中的应用

Application of behavioral change theory-based intervention in obese polycystic ovary syndrome

目的探究以行为转变理论为指导的干预模式在肥胖型多囊卵巢综合征中的应用价值。方法选取2019年1月—2021年4月厦门市某医院收治的肥胖型多囊卵巢综合征患者70例为研究对象,采用随机数字表法分为对照组(n=35)和观察组(n=35)。对照组患者接受常规护理干预,观察组患者在对照组护理基础上接受以行为转变理论为指导的干预模式,2组患者均持续干预2个月。比较2组患者干预前后的膳食摄入行为及卵泡发育体积、卵泡数量、子宫内膜厚度、生活质量、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]。结果干预后,2组患者膳食摄入行为评分均高于干预前且观察组高于对照组,差异均有统计学意义(P<0.05)。干预后,2组患者卵泡发育体积小于干预前且观察组小于对照组,卵泡数量少于干预前且研究组少于对照组,子宫内膜厚度大于干预前,差异均有统计学意义(P<0.05)。干预后,2组患者自理能力、身体状态、心理健康、社会功能评分均高于干预前且观察组高于对照组,差异均有统计学意义(P<0.05)。干预后,2组患者SDS、SAS评分均低于干预前且观察组低于对照组,差异均有统计学意义(P<0.05)。结论以行为转变理论为指导的干预模式可有效改善肥胖型多囊卵巢综合征患者的摄食行为、卵巢功能、生活质量及负面情绪,值得在临床上推广使用。

Objective To investigate the application of behavioral change theory-based intervention in obese polycystic ovary syndrome.Methods A total of 70 patients with obese polycystic ovary syndrome admitted to a hospital in Xiamen from January 2019 to April 2021 were selected as subjects and assigned to a control group(n=35)and an experimental group(n=35)using random number table method.Patients in the control group received conventional nursing intervention,while patients in the experimental group received behavioral change theory-based intervention after receiving conventional nursing,and both groups received consecutive intervention for 2 months.The dietary intake behavior and follicle development volume,follicle number,endometrial thickness,quality of life,anxiety and depression of the patients in the 2 groups were compared before and after the intervention.Results The dietary intake behavior scores after the intervention were higher in both groups than before the intervention,with scores in the observation group higher than those in the control group,and the differences were statistically significant(P<0.05).The follicle development volume after the intervention in the experimental group was smaller than that in the control group,and the number of follicles in the experimental group was smaller than that in the control group,and the differences were statistically significant(P<0.05).The scores of self-care ability,physical status,mental health and social function scores after the intervention in both groups were higher than those before the intervention,with scores in the experimental group higher than those in the control group,and the differences were statistically significant(P<0.05).The Self-rating Depression(SDS)and Self-rating Anxiety(SAS)scores of patients after the intervention in the two groups were lower than those before the intervention,with the experimental group having lower scores than the control group,and the differences were statistically significant(P<0.05).Conclusion The behavioral change theory-based intervention can effectively improve the eating habits,ovarian function,quality of life and negative emotion in patients with obese polycystic ovary syndrome.These advantages justify a wider application of this intervention clinically.