超重或肥胖型多囊卵巢综合征患者的家庭参与式个案健康管理  

Family participatory case health management for overweight or obese polycystic ovary syndrome patients

作　　者：刘才琪 孙小玲[3] 王静[4] 卢山 张宁 孟芳芳 张成果 Liu Caiqi;Sun Xiaoling;Wang Jing;Lu Shan;Zhang Ning;Meng Fangfang;Zhang Chengguo(School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学护理学院,江苏南京210008 [2]南京中医药大学鼓楼临床医学院,江苏南京210008 [3]南京大学医学院附属鼓楼医院江北门诊 [4]南京大学医学院附属鼓楼医院健康管理中心 [5]江苏大学医学院护理系

出　　处：《护理学杂志》2023年第8期5-9,共5页Journal of Nursing Science

基　　金：2021年度妇幼保健协会科研课题(FYX202106)。

摘　　要：目的探讨家庭参与式个案管理在超重或肥胖型多囊卵巢综合征患者健康管理中的应用效果。方法将80例超重或肥胖型多囊卵巢综合征患者按就诊时间分为对照组和观察组各40例。对照组给予常规健康管理,观察组应用家庭参与式个案管理,实施干预3个月。结果对照组36例和观察组38例患者完成研究。结果显示,两组BMI、体脂百分比、焦虑、抑郁得分及疾病相关生活质量总分的时间效应、组间效应、交互效应显著(均P<0.05),且干预后观察组BMI、体脂百分比、焦虑、抑郁评分显著低于对照组,疾病相关生活质量量表总分及情绪障碍、体质量、月经失调维度评分显著高于对照组(均P<0.05)。结论家庭参与式个案管理能有效降低超重或肥胖型多囊卵巢综合征患者BMI及体脂百分比,改善患者焦虑、抑郁情绪,最终提高患者生活质量。Objective To explore the application effect of family participatory case management in the health management of overweight or obese patients with polycystic ovary syndrome.Methods A total of 80 patients with overweight or obese polycystic ovary syndrome were divided into a control group and an experimental group chronologically,with 40 cases in each group.The control group received routine health management,while the experimental group was given family participatory case management for 3 months.Results Thirty six patients in the control group and 38 patients in the experimental group completed the study.The results showed that,the time effect,intervention effect and time×intervention effect of BMI,body fat percentage,anxiety and depression scores and the total score of disease-related quality of life in the two groups were significant(all P<0.05),and after the intervention,the BMI,body fat percentage,the scores of anxiety and depression in the experimental group were significantly lower than those in the control group,while its total score of disease-related quality of life scale and the subscale scores of emotional disorder,body weight and menstrual disorder were significantly higher than those in the control group(all P<0.05).Conclusion Family participatory case management can effectively reduce BMI and body fat percentage in patients with overweight or obesity polycystic ovary syndrome,improve their anxiety and depression,and finally improve their quality of life.

关 键 词：多囊卵巢综合征 超重 肥胖 个案管理 焦虑 抑郁 生活质量 健康管理 

分 类 号：R473.71[医药卫生—护理学]