基于信息知识信念行为模式的延续性护理在多囊卵巢综合征患者中的应用效果  

Application effect of continuous nursing based on Information-Knowledge-Attitude-Practice model in patients with polycystic ovary syndrome

作　　者：李璐[1] 杜丽娟[1] 马姝 方新 杨芳[1] LI Lu;DU Lijuan;MA Shu;FANG Xin;YANG Fang(Qilu Hospital of Shandong University,Jinan,Shandong,250063,China)

机构地区：[1]山东大学齐鲁医院,山东济南250063

出　　处：《中西医结合护理（中英文）》2023年第5期29-32,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨基于信息知识信念行为(IKAP)模式在多囊卵巢综合征(PCOS)患者中的应用效果和价值。方法对山东大学齐鲁医院2019年2月至2022年1月收治的176例PCOS患者开展对照研究分析,采用抽签法对纳入患者进行分组,分为对照组和观察组,每组88例。对照组患者给予常规延续性护理,观察组患者采用基于IKAP模式的延续性护理。比较2组患者的健康行为方式改变情况、激素水平、体脂率、妊娠率及排卵率。结果治疗3个月和6个月后,2组的健康行为方式改变各项目评分均较治疗前升高(P均<0.05),且观察组均较同期对照组更高(P均<0.05)。治疗3个月和6个月后,2组的促黄体素、卵泡刺激素和睾酮水平均较治疗前降低(P均<0.05),且观察组均较同期对照组更低(P均<0.05)。治疗3个月和6个月后,2组的体脂率与治疗前相比均降低(P均<0.05),且观察组均较同期对照组更低(P均<0.05)。观察组在随访期间的妊娠率及排卵率均较对照组更高(P均<0.05)。结论基于IKAP模式的延续性护理可引导PCOS患者保持健康行为,改善其激素水平、体脂率、妊娠率及排卵率。Objective To explore the application effect and value of Information-Knowledge-Attitude-Practice(IKAP)model in patients with polycystic ovary syndrome(PCOS).Methods A comparative study was conducted on 176 PCOS patients at Qilu Hospital of Shandong University from February 2019 to January 2022.The included patients were divided into control and observation groups using the lottery method,with 88 patients in each group.The control group were given routine continuous nursing,while the observation group were given continuous nursing based on the IKAP model.The changes in health behaviors,hormone levels,body fat rate,pregnancy rate,and ovulation rate were compared between the two groups.Results After 3 and 6 months of treatment,the scores of health behavior changes in both groups were higher than those before treatment(all P<0.05),and the observation group had higher scores than the control group(all P<0.05).After 3 and 6 months of treatment,the levels of luteinizing hormone,follicle-stimulating hormone,and testosterone in both groups were lower than those before treatment(all P<0.05),and the observation group had lower levels than the control group(all P<0.05).After 3 and 6 months of treatment,the body fat rate of both groups decreased compared with that before treatment(all P<0.05),and the observation group had lower body fat rate than the control group(both P<0.05).The pregnancy rate and ovulation rate of the observation group were higher than those of the control group during the follow-up(both P<0.05).Conclusion Continuous nursing based on the IKAP model can guide PCOS patients to maintain the healthy behaviors and improve their hormone levels,body fat rate,pregnancy rate,and ovulation rate.

关 键 词：多囊卵巢综合征 信息知识信念行为模式 延续性护理 健康行为方式 激素水平 

分 类 号：R711.75[医药卫生—妇产科学]