摘要
目的探讨利益相关者协作在多囊卵巢综合征(PCOS)患者健康教育中的应用效果。方法选取2022年4—6月医院门诊190例PCOS患者作为研究对象,按照组间基本特征具有可比性的原则分成观察组与对照组,各95例。对照组采用门诊常规教育,观察组在此基础上叠加利益相关者协作健康教育,比较随访2个月后两组教育效果。结果叠加利益相关者协作健康教育前,两组患者PCOS病因、典型症状、危险因素等5个维度知识的掌握率比较,差异均无统计学意义(P>0.05)。随访2个月后,除PCOS典型症状外(P=0.069),观察组其余4个维度的PCOS知识掌握率均高于对照组(P<0.05)。叠加利益相关者协作健康教育前,两组患者正确服药、禁烟禁酒、健康膳食等8个维度健康生活方式的执行率比较,差异均无统计学意义(P>0.05);随访2个月后,除规律作息外(P=0.139),观察组其余维度健康生活方式的执行率均高于对照组,差异有统计学意义(P<0.05)。叠加利益相关者协作健康教育前,两组患者体质量指数(BMI)、空腹血糖(FPG)、空腹胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)、促黄体生成素/促卵泡生成素比值(LH/FSH)比较,差异均无统计学意义(P>0.05);随访2个月后,观察组BMI、FPG、FINS、HOMA-IR、LH/FSH均低于对照组(P<0.05)。叠加利益相关者协作健康教育前,两组患者社会支持评定量表(SSRS)各维度评分比较,差异均无统计学意义(P>0.05);随访2个月后,观察组SSRS各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论利益相关者协作健康教育可提高PCOS患者知识掌握率和健康生活方式执行率,改善体质量和实验室指标水平,推动社会支持有效落地、水平提升。
Objective To explore the application effect of stakeholder collaboration in health education for patients with polycystic ovary syndrome(PCOS).Methods To select 190 PCOS patients from the outpatient department of the hospital from April to June 2022 as the research subjects,and were divided into an observation group and a control group based on the principle of comparability of basic characteristics between groups,with 95 patients in each group.The control group received routine outpatient education,while the observation group received stakeholder collaborative health education on this basis.The educational effects of the two groups were compared after a 2-month follow-up.Results Before overlapping stakeholder collaborative health education,there was no statistically significant difference in the mastery rate five dimensions of knowledge,including PCOS etiology,typical symptoms,risk factors between the two groups of patients(P>0.05).After a 2-month follow-up,except for typical symptoms of PCOS(P=0.069),the observation group had a higher mastery rate of PCOS knowledge in the other four dimensions than the control group(P<0.05).Before overlapping stakeholder collaborative health education,there was no statistically significant difference in the implementation rate of eight dimensions of healthy lifestyle,including correct medication,smoking and alcohol prohibition,and healthy diet,between the two groups of patients(P>0.05).After a 2-month follow-up,except for regular schedule(P=0.139),the observation group had a higher implementation rate of healthy lifestyle in the other dimensions than the control group,and the differences were statistically significant(P<0.05).Before overlapping stakeholder collaborative health education,there was no significant difference in body mass index(BMI),fasting plasma glucose(FPG),fasting insulin(FINS),homeostasis model assessment-insulin resistance(HOMA-IR),luteinizing hormone/follicle stimulating hormone ratio(LH/FSH)between the two groups(P>0.05).After a 2-month follow-up,the BMI,FP
作者
王博
安淑敏
王芳
戈文茜
袁芳
WANG Bo;AN Shumin;WANG Fang;GE Wenqian;YUAN Fang(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,450052,China)
出处
《护理实践与研究》
2023年第14期2147-2153,共7页
Nursing Practice and Research
关键词
利益相关者协作
多囊卵巢综合征
健康教育
社会支持
应用效果
Stakeholder collaboration
Polycystic ovary syndrome
Health education
Social support
Application effect
