基于计划行为理论的生活方式管理在多囊卵巢综合征患者中的应用

Application of lifestyle management based on theory of planned behavior in patients with polycystic ovary syndrome

目的评价基于计划行为理论(TPB)的生活方式管理在多囊卵巢综合征(PCOS)患者中的应用效果。方法选取北京大学第三医院2022年1月至8月于生殖中心门诊确诊为PCOS的76例患者作为研究对象,根据患者就诊的先后顺序,将2022年1月至4月确诊的41例患者纳入实验组(基于TPB生活方式管理),2022年5月至8月确诊的35例患者纳入对照组(常规生活方式管理)。干预3个月后,比较干预前后两组患者体重指数(BMI)、腰臀比和生活质量。结果干预3个月后,实验组患者BMI和腰臀比均低于对照组(P<0.05),生活质量总分、体质量和不孕症维度得分高于对照组(P<0.05)。结论基于TPB生活方式管理降低了患者的BMI和腰臀比,帮助患者进行健康的生活方式管理,改善了生活质量。

Objective To evaluate the application effect of lifestyle management based on theory of planned behavior(TPB)in patients with polycystic ovary syndrome(PCOS).Methods A total of 76 patients diagnosed with PCOS in the outpatient department of Center for Reproductive Medicine,Peking University Third Hospital from January to August 2022 were selected as the research objects.According to the sequence of patient visit,41 patients diagnosed from January to April 2022 were included in the experimental group(given lifestyle management based on TPB),and 35 patients diagnosed from May to August 2022 were included in the control group(given routine lifestyle management).After 3 months of intervention,the body mass index(BMI),waist-to-hip ratio and quality of life of the two groups were compared before and after intervention.Results After 3 months of intervention,the BMI and waist-to-hip ratio of the experimental group were lower than those of the control group(P<0.05),and the scores of total quality of life,body mass dimension and infertility dimension were higher than those of the control group(P<0.05).Conclusions The lifestyle management based on the TBP reduces the BMI and waist-to-hip ratio of patients,helps patients to carry out healthy lifestyle management,and improves their quality of life.