基于IKAP模式干预对肥胖型多囊卵巢综合征不孕患者生活方式及治疗依从性的影响

摘要

Objective:To observe the influence of information-knowledge-attitude-practice (IKAP) model based intervention on the lifestyle and treatment compliance of infertile patients with obesity type polycystic ovarian syndrome(PCOS).Methods:Selected 112 infertile patients with obesity type PCOS admitted in our hospital from February 2013 to February 2015,and they were equally divided into research group and control group according to the random number table method, where patients in the test group were intervened with the conventional nursing, and IKAP model based intervention was given to the patients in the research group.Patients in the two groups were compared in clinical effect, reproductive endocrinology and lipid metabolism indicators, transformation of lifestyle and treatment compliance.Results: The body mass, BMI, waist hip of patients in the two groups after intervention were significantly lower than those before intervention(P<0.05),and those of research group were lower than those of the control group(P<0.05);after intervention, the luteinizing hormone, basic follicle stimulating hormone, testosterone, fasting insulin, triglyceride levels of patients in the two groups after intervention were significantly lower than those before intervention(P<0.05),and those of the research group were lower than those of the control group(P<0.05);the scores of indicators of lifestyle of patients in the two groups after intervention were significantly higher than those before intervention, and those of patients in the research group were lower than those of patients in the control group (P<0.05);and the treatment compliance of patients in the research group was superior to those of patients in the control group(P<0.05).Conclusion:The IKAP model based intervention could effectively transform the lifestyle of infertile patients with obesity type PCOS,so as to improve the treatment compliance.%目的:观察基于信息-知识-信念-行为(IKAP)模式干预对肥胖型多囊卵巢综合征(PCOS)不孕患者生活方式及治疗依从性的影响.方法:选取我院2013年2月~2015年2月收治的肥胖型PCOS不孕患者112例作为研究对象,按照随机数字表法等分为研究组和对照组,对照组采用常规护理干预;研究组采用基于IKAP模式干预.观察两组患者临床效果、生殖内分泌和脂代谢指标、生活方式转变以及治疗依从性.结果:干预后两组患者身体质量、BMI、腰臀比明显低于干预前(P<0.05),且研究组低于对照组(P<0.05);干预后两组患者黄体生成素、基础促卵泡生长激素、睾酮、空腹胰岛素、甘油三酯水平明显低于干预前(P<0.05),且研究组低于对照组(P<0.05);干预后两组患者生活方式各项指标评分明显高于干预前(P<0.05),且研究组高于对照组(P<0.05);研究组治疗依从性优于对照组(P<0.05).结论:基于IKAP模式干预能够有效转变肥胖型PCOS不孕患者生活方式,提高治疗依从性.