HAPA理论在肥胖型多囊卵巢综合征患者饮食控制行为干预中应用的效果评价  

Application of the Health Action Process Approach on the behavior of diet control in patients with obesity type polycystic ovarian syndrome

作　　者：杜敏霞[1] 卢颖[1] 任利华[1] 李向青[1] 

机构地区：[1]新乡医学院护理学院,453000

出　　处：《中国实用护理杂志》2014年第17期38-40,共3页Chinese Journal of Practical Nursing

基　　金：河南省教育厅人文社会科学研究课题[（青年项目）2012-QN-407]

摘　　要：目的探索基于HAPA理论的综合干预措施对肥胖型多囊卵巢综合征（PCOS）患者饮食控制行为的影响。方法将64例肥胖型PCOS患者随机分为干预组和对照组各32例。对照组采用常规健康教育，干预组实施基于HAPA理论的综合干预措施。在干预前后评价患者饮食控制行为水平及临床监测指标。结果干预组干预后1，6个月饮食控制行为水平明显高于对照组；干预组干预后6个月BMI、血清游离睾酮水平、口服葡萄糖耐量试验后2h血糖水平、卵泡数均低于对照组，性激素结合球蛋白水平及排卵周期发生率明显高于对照组。结论基于HAPA理论的综合性干预措施能有效促进PCOS患者饮食控制行为，提高PCOS治疗效果。Objective To explore the effect of HAPA theory based intervention on diet control behavior of patients with polycystic ovary syndrome （PCOS）. Methods 64 obese PCOS patients were randomly divided into the intervention group and the control group, 32 cases in each group. The control group received routine health education, while the patients in the intervention group received HAPA theory based intervention. The diet control behavior and clinical monitoring indexes of patients were investigated before and 1 and 6 months after intervention. Results The behavior level of the intervention group on 1 month and 6 month after intervention was significant higher than that of the control group. The levels of BMI, FT, blood glucose level two hours after OGTT, follicle number of the intervention group after intervention were significantly lower than those of the control group. Conclusions The HAPA theory based intervention can improve the diet control behavior of PCOS patients, improve the effect of clinical treatment.

关 键 词：多囊卵巢综合征 饮食控制 肥胖 健康行动过程取向理论 

分 类 号：R711.75[医药卫生—妇产科学]