护理干预对围绝经期妇女亚健康状态的影响  

Effects of Nursing Intervention on Subhealth Status of Perimenopausal Women

作　　者：方秀新[1] 郑春辉[2] 周希环[2] 王庆华[1] 颜琬华[1] 

机构地区：[1]滨州医学院护理学院,山东滨州256603 [2]滨州医学院附属医院临床营养支持中心

出　　处：《解放军护理杂志》2011年第9期9-11,38,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：2008年山东省自然科学基金项目(Y2008C62)

摘　　要：目的探讨护理干预对围绝经期妇女亚健康状态的影响,以积极预防该人群亚健康相关疾病的发生。方法采用方便抽样法选取45～55岁围绝经期妇女70例为研究对象,构建个人、家庭、单位/社区共同参与式保健模式,采取群体干预及个体指导相结合的教育方式,实施有氧运动、饮水及饮食调节等措施。干预前后分别对研究对象进行亚健康指标测试。结果干预后3个月与干预前亚健康相关指标参数比较,被测人群的体质量、脂肪、体质指数、肥胖度、腰臀比明显降低(P<0.01);肌肉含量、蛋白总量、骨总量、体内细胞质量、细胞内液、细胞外液、水分总量以及基础代谢率明显升高(P<0.01)。结论该干预措施能有效改善围绝经期妇女亚健康状态;减少体质量及体脂量,改善腹部脂肪堆积;增强肌力,增加骨量,改善体内水分含量,促进机体新陈代谢,降低围绝经期妇女罹患骨质疏松症及心血管等疾病的风险。Objective To explore the effect of nursing intervention on the subhealth status of perimenopausal women so as to positively prevent the sub-health of the population. Methods Seventy perimenopausal women aged 45 to 55 years old were enrolled in the study. A series of measures were conducted including constructing unit or individual, family and community participatory care model, adopting a combined education mode of group intervention and individual guidance and implementing aerobic exercise with diet and water regulation before and after the intervention. Tests were conducted on the body composition before and after the intervention. Results Compared with the body composition parameters before the interven- tion,significant increase and decrease were observed in body mass, fat, body mass index,obesity degrees and waist-hip ratio（P〈0.01） and muscle, total protein, total bone volume, cellular body cell liquid, extracellular fluid, water amount and basal metabolic rates respectively（P〈0.01）. Conclusion The intervention measures can effectively improve the perimenopausal body composition, reduce weight and body fat, improve the abdominal adipose accumulation, strengthen the muscular power, increase the bone mass, improve body moisture content, promote the body metabolism, reduce the risks of osteoporosis and cardiovascular diseases in perimenopausal women.

关 键 词：围绝经期妇女 护理干预 亚健康相关指标 

分 类 号：R194.3[医药卫生—卫生事业管理]