基于KABP健康教育模式对青春期肥胖PCOS患者的影响研究  

Study on the influence of KABP health education model on adolescent obese PCOS patients

作　　者：曾祥芬[1] 阳晓敏 陈莉 吕德欣 曾乐娟 Zeng Xiangfen;Yang Xiaomin;Chen Li;Lv Dexin;Zeng Lejuan(Department of Gynecology,Liuzhou Maternal and Child Health Hospital(Maternity Hospital and Children's Hospital Afiliated to Guangxi University of Science and Technology/Guangxi Clinical Research Center for Obstetrics and Gynecology),Liuzhou 545000,China)

机构地区：[1]柳州市妇幼保健院(广西科技大学附属妇产医院、儿童医院/广西妇产疾病临床医学研究中心)妇科门诊,广西柳州545000

出　　处：《实用妇科内分泌电子杂志》2023年第11期15-19,共5页Electronic Journal of Practical Gynecological Endocrinology

基　　金：广西科技计划项目(编号桂科AD22035223);广西壮族自治区卫生健康委员会自筹经费科研项目(编号Z20210573、Z20210918)。

摘　　要：目的探讨基于知信行(KABP)健康教育模式应用于青春期肥胖多囊卵巢综合征(PCOS)的干预效果。方法选取60例青春期肥胖PCOS患者作为研究对象,根据随机数字表法分为对照组和观察组,每组30例。对照组采用常规护理模式,观察组采用KABP的健康教育模式对患者进行综合管理。对比两组干预前后的体质量指数(BMI)、腰臀比、体脂百分比、总甘油三酯(TG)、总胆固醇(TC)、空腹血糖(FBG)、空腹胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)、生活方式、遵医用药依从性及焦虑、抑郁评分。结果干预前,两组的BMI、腰臀比和体脂百分比对比,差异无统计学意义(P>0.05);干预后,观察组的BMI、腰臀比和体脂百分比均显著低于干预前及对照组,差异有统计学意义(P<0.05)。干预前,对照组和观察组的TG、TC、FBG、FINS和HOMA-IR指标对比,差异无统计学意义(P>0.05);干预后,观察组的TG、TC、FBG、FINS和HOMA-IR指标均显著低于干预前及对照组,差异具有统计学意义(P<0.05)。干预后,观察组生活方式优于对照组,差异具有统计学意义(P<0.05)。观察组自我监测、行为改变、遵医用药及复诊的依从性评分均显著高于对照组,差异具有统计学意义(P<0.05)。干预前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,两组SAS评分、SDS评分均低于干预前,且观察组SAS评分、SDS评分(36.66±6.27)分、(35.42±6.21)分均明显低于对照组的(44.14±6.17)分、(42.51±6.29)分,差异具有统计学意义(P<0.05)。结论KABP健康教育模式可有效降低青春期肥胖PCOS患者的脂代谢水平,缓解患者焦虑、抑郁等负面心理,提高患者治疗依从性,使患者回归正常的生活状态,值得临床推广与应用。Objective To explore the intervention effect of health education model based on Zhixinxing(KABP)on adolescent obesity polycystic ovary syndrome(PCOS).Methods 60 adolescent obese PCOS patients were selected as research objects and divided into control group and observation group according to random number table method,with 30 cases in each group.The control group adopted conventional nursing mode,and the observation group adopted KABP health education mode for comprehensive management of patients.Body mass index(BMI),waist-to-hip ratio,percentage of body fat,total triglyceride(TG),total cholesterol(TC),fasting blood glucose(FBG),fasting insulin(FINS),insulin resistance index(HOMA-IR),lifestyle,compliance with medical drugs and anxiety and depression scores were compared between the two groups before and after intervention.Results Before intervention,there was no significant difference in BMI,waist-to-hip ratio and body fat percentage between the two groups(P>0.05).After intervention,BMI,waist-to-hip ratio and body fat percentage in observation group were significantly lower than before intervention and control group,with statistical significance(P<0.05).Before intervention,there was no significant difference in TG,TC,FBG,FINS and HOMA-IR indexes between control group and observation group(P>0.05).After intervention,the indexes of TG,TC,FBG,FINS and HOMA-IR in observation group were significantly lower than before intervention and control group,with statistical significance(P<0.05).After the intervention,the lifestyle of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).The scores of self-monitoring,behavior change,compliance with medical drugs and follow-up visits in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in self-rating anxiety Scale(SAS)and self-rating Depression Scale(SDS)scores between th

关 键 词：知信行健康教育模式 多囊卵巢综合征 青春期 干预效果 

分 类 号：R473.71[医药卫生—护理学]