跨理论模型在OSAHS患者体质量控制中应用的效果分析

摘要

目的：探索跨理论模型的应用对OSAHS患者体质量控制效果。方法于2013年11月—2014年1月选择134例OSAHS患者,使用随机数字表法分为干预组(69例)和对照组(65例)。干预组接受跨理论模型为框架的综合干预,对照组接受常规的健康指导,观察两组患者的体质量控制意向变化阶段、体质指数( BMI)、每周运动大于3次的人数、颈围和Epworth嗜睡分数。结果干预后,两组患者的体质量控制改变阶段、BMI差异有统计学意义(F值分别为22.45,22.00；P<0.01)；干预组确诊3个月以后每周运动大于3次的人数、确诊7个月时的颈围和Epworth睡眠评分与对照组比较,差异有统计学意义(χ2/t值分别为45.32,-2.32,-2.06；P<0.05)。结论跨理论模型为框架的综合干预,能有效改变OSAHS患者的体质量控制意向,对患者体质量控制有效,能够降低BMI、颈围,提高睡眠质量。%Objective To probe into the intervention effect analysis of transtheoreical model for weight control in Obstructive Sleep Apnea Hypopnea Syndrome ( OSAHS) patients. Methods A total of 134 OSAHS patients were randomly divided into the intervention group (69 cases) and the control group (65 cases) from November 2013 to January 2014. Patients in the intervention group received transtheoreical model for weight control, and patients in the control group received routine health education. They were evaluated in the aspects of the weight control intention stage, BMI, the number of weekly exercise more than 3 times, neck size and the score of Epworth sleepiness. Results The weight control intention change stage, BMI of the two groups were significantly different(F=22. 45,22. 00;P<0. 01). The number of weekly exercise more than 3 times, neck size and the score of Epworth sleepiness of the two groups were significantly different(χ2/t=45. 32,-2. 32,-2. 06;P<0. 05). Conclusions The transtheoreical model intervention framework can efficiently change the weight control intention stage of the OSAHS patients. It′s an effective method for weight control, and it can reduce the BMI and neck size, also can improve the sleeping quality of the patients.