黑龙江医学2024,Vol.48Issue(10) :1255-1258.DOI:10.3969/j.issn.1004-5775.2024.10.032

ADOPT护理干预模式在女性不孕症BMI超标患者中的应用

Application of ADOPT Nursing Intervention Model in Female Infertility Patients with BMI Exceeding the Standard

张琦 李婷 王玮
黑龙江医学2024,Vol.48Issue(10) :1255-1258.DOI:10.3969/j.issn.1004-5775.2024.10.032

ADOPT护理干预模式在女性不孕症BMI超标患者中的应用

Application of ADOPT Nursing Intervention Model in Female Infertility Patients with BMI Exceeding the Standard

张琦 1李婷 1王玮1
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作者信息

  • 1. 焦作市妇幼保健院生殖医学科,河南 焦作 454000
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摘要

目的:观察ADOPT模式在女性不孕症体重指数(BMI)超标患者中的应用效果.方法:选取2021年1月-2022年5月焦作市妇幼保健院收治的116例女性不孕症BMI超标患者作为研究对象,采用抽签法将其分为两组.其中58例予以常规护理,列为对照组;其余58例予以ADOPT模式护理,列为试验组.比较两组患者护理前后的自我护理能力、体重变化、代谢情况及机体营养状况.结果:护理7d、14 d、1个月后,试验组自我护理能力量表(ESCA)评分高于对照组,差异有统计学意义(t=2.347、2.621、2.694,P<0.05);护理后,试验组的BMI、腰臀比、体脂率均低于对照组,差异有统计学意义(t=2.508、3.883、4.048,P<0.05);护理后,试验组的糖化血红蛋白(HBA1c)、总胆固醇(TC)、甘油三酯(TG)水平均低于对照组,差异有统计学意义(t=5.499、5.130、5.382,P<0.05);护理后,试验组的血清白蛋白(ALB)、前白蛋白(PA)、转铁蛋白(TRF)与对照组比较,差异无统计学意义(t=1.344、1.120、0.576,P>0.05).结论:对女性不孕症BMI超重患者实施ADOPT模式护理可有效提升其自我护理能力,可在不影响机体营养状态的同时促进其体重及机体代谢情况改善.

Abstract

Objective:To observe the application effect of ADOPT mode in female infertility patients with BMI exceeding the standard.Methods:116 cases of female infertility patients with BMI exceeding the standard in the hospital from January 2021 to May 2022 were taken as the research objects.They were equally divided into two groups by the method of drawing lots.Among them,58 cases were given routine nursing care as the control group,and the remaining 58 cases were given ADOPT mode nursing care as the test group.The self-care ability,weight change,metabolism and nutritional status of the two groups of patients before and after nursing care were compared.Results:After 7,14 days and 1 months of nursing,the ESCA score of the test group was higher than that of the control group,with statistically significant difference(t=2.347,2.621,2.694;P<0.05).After nursing,the BMI,waist hip ratio and body fat rate of the test group were lower than those of the control group,with statistically significant difference(t=5.499,5.130,5.382;P<0.05).HBA1c,TC and TG were lower than those of the control group(t=2.508,3.883,4.048;P<0.05).After nursing,there was no significant difference in ALB,PA,TRF between the test group and the control group(t=1.344,1.120,0.576;P>0.05).Conclusion:The implementation of ADOPT mode nursing for female infertility patients with overweight BMI can effectively improve their self-care ability,and can improve their weight and metabolism without affecting their nutritional status.

关键词

女性不孕症/体重指数/ADOPT模式/机体代谢/营养状况

Key words

Female infertility/Body mass index/ADOPT mode/Body metabolism/Nutritional status

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基金项目

河南省医焦作市技攻关项目(2022430033)

出版年

2024
黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
参考文献量15
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