首页|正念干预联合基于IMB模型的生活方式干预在肥胖型多囊卵巢综合征患者中的应用效果

正念干预联合基于IMB模型的生活方式干预在肥胖型多囊卵巢综合征患者中的应用效果

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目的:探讨正念干预联合基于信息-动机-行为技巧(IMB)模型的生活方式干预在肥胖型多囊卵巢综合征(PCOS)患者中的应用效果。方法:选择 2021 年 9 月—2023 年 3 月贵州中医药大学第二附属医院收治的 86 例肥胖型PCOS患者作为研究对象,按随机数表法将患者分为观察组和对照组,各 43 例。对照组实施正念干预,观察组实施正念干预联合IMB模型的生活方式干预,两组均干预 8 周。比较两组心理状态、减重效果及生活质量。结果:干预前,两组心理状态、减重效果及生活质量比较,差异无统计学意义(P>0。05);干预后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、体重指数(BMI)、腰臀比、脂肪质量、体脂率较干预前降低,且观察组较对照组更低,差异有统计学意义(P<0。05);干预后,两组健康调查简表(SF-36)评分较干预前提高,且观察组较对照组更高,差异有统计学意义(P<0。05);两组干预后骨骼肌质量比较,差异无统计学意义(P>0。05)。结论:正念干预联合基于IMB模型的生活方式干预对肥胖型PCOS患者效果显著,可有效改善负面情绪,帮助患者科学减重,提高生活质量。
Application Effect of Mindfulness Intervention Combined with Lifestyle Interventions Based on IMB Model in Obese Patients with Polycystic Ovary Syndrome
Objective:To explore the application effect of mindfulness intervention combined with lifestyle interventions based on information,motivation and behavior skills(IMB)model in obese patients with polycystic ovary syndrome(PCOS).Method:A total of 86 obese patients with PCOS who admitted to the Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from September 2021 to March 2023 were selected as the research objects,the patients were divided into the observation group and the control group according to the random number table method,with 43 cases in each group.The control group was given mindfulness intervention,while the observation group was given mindfulness intervention combined with lifestyle intervention based on IMB model,two groups were intervened for 8 weeks.The psychological state,weight loss effect and quality of life were compared between two groups.Result:Before intervention,there were no significant differences in the psychological state,weight loss effect and quality of life between two groups(P>0.05);after intervention,the self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,body mass index(BMI),waist-hip ratio,fat mass and body fat rate of two groups were lower than those before intervention,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);after intervention,the MOS item short from health survey(SF-36)scores of two groups improved compared with those before intervention,and that in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05);there was no statistically significant difference in skeletal muscle mass between two groups after intervention(P>0.05).Conclusion:Mindfulness intervention combined with lifestyle intervention based on IMB model has a significant effect on obese patients with PCOS,which can effectively reduce negative emotions,help patients lose weight scientifically,and improve quality of life.

Obese polycystic ovary syndromeLifestyle interventionsMindfulness interventionWeight loss effect

周明波、莫兰

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贵州中医药大学第二附属医院 贵州 贵阳 550081

肥胖型多囊卵巢综合征 生活方式干预 正念干预 减重效果

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(13)
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