5A护理模式在多囊卵巢综合征患者院外管理中的应用
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摘要
目的探讨5A护理模式对多囊卵巢综合征患者代谢指标及疾病知识与自我管理水平的影响。方法选择某三级甲等综合医院内分泌科2017年1月至10月门诊就诊的多囊卵巢综合征患者64例,随机分为对照组与试验组,每组32例。对照组使用常规健康教育,试验组在对照组的基础上增加5A管理模式进行干预,12周后比较两组患者在代谢指标及疾病知识及自我管理水平上的差异。结果试验组的代谢指标和疾病知识及自我管理水平优于对照组(P<0.05)。结论 5A管理模式能改善门诊多囊卵巢综合征患者的代谢指标并提高患者的疾病知识及自我管理水平。
Objective To examine the effects of 5A management model on the metabolic index and disease knowledge of the outpatients with polycystic ovary syndrome. Methods Sixty-four outpatients who visited the endocrinology department from January to October 2017 were randomly divided into the interventional group and the control group. Both of the two groups received the routine health education. Besides,patients in the interventional group received the 5A outpatient clinic management system. The metabolic index and self-management ability of both groups were compared after 12 weeks of intervention. Results The interventional group had better metabolic index and the disease knowledge than that of the control group(P<0.05). Conclusion The 5A management model is effective both in improvingthe metabolic index and their relevant disease knowledge.
Objective To examine the effects of 5A management model on the metabolic index and disease knowledge of the outpatients with polycystic ovary syndrome. Methods Sixty-four outpatients who visited the endocrinology department from January to October 2017 were randomly divided into the interventional group and the control group. Both of the two groups received the routine health education. Besides,patients in the interventional group received the 5A outpatient clinic management system. The metabolic index and self-management ability of both groups were compared after 12 weeks of intervention. Results The interventional group had better metabolic index and the disease knowledge than that of the control group(P<0.05). Conclusion The 5A management model is effective both in improvingthe metabolic index and their relevant disease knowledge.
引文
[1]Liang SJ,Liou TH,Lin HW,et al.Obesity is the predominant predictor of impaired glucose tolerance and metabolic distur bance in polycystic ovary syndrome[J].Acta Obstet Gynecol Scand,2012,91(10):1167-1172.
[2]陈千里,陈万里.来曲唑与克罗米芬应用于多囊卵巢综合征患者促进排卵效果的比较研究[J].中国妇幼保健,2010,25(29):4272-4273.
[3]陈娟,马玲.应用自我管理为导向的5A护理模式提高晚期前列腺癌患者自我效能[J].中国护理管理,2015,15(8):917-920.
[4]谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2014:359-362.
[5]黄雪兰.饮食与运动干预对糖尿病患者血糖控制的影响分析[J].当代医学,2011,17(34):90-92.
[6]杨月欣,贾伟平.中国2型糖尿病膳食指南及解读[J].营养学报,2017,39(6):521-525.
[7]王美.临床护理干预对肥胖多囊卵巢综合征患者激素的影响[J].实用临床医药杂志,2014,18(20):155-156.
[8]郑思远,张莹,龙涛,等.不同胰岛素抵抗及肥胖水平对多囊卵巢综合征患者高雄激素血症特征的影响[J].广东医学,2017,38(3):406-409.
[9]贺媛,彭左旗,韩程成,等.低碳水化合物饮食对改善肥胖型多囊卵巢综合征患者不孕的临床研究[J].中国计划生育学杂志,2015,23(4):235-238.
[10]Loring KR,Holman HR.Self-management education:history,definition,outcomes,and mechanisms[J].Ann Behav Med,2003,26(1):1-7.
[11]王娜娜,万凌屹.综合护理干预对多囊卵巢综合征不孕患者抑郁心理及生活质量的影响[J].中国现代医生,2018,56(4):158-161.
[12]王玉蓉,曹云霞.精神、心理因素与多囊卵巢综合症[J].国外医学(妇幼保健分册),2004,15(5):303-305.
[2]陈千里,陈万里.来曲唑与克罗米芬应用于多囊卵巢综合征患者促进排卵效果的比较研究[J].中国妇幼保健,2010,25(29):4272-4273.
[3]陈娟,马玲.应用自我管理为导向的5A护理模式提高晚期前列腺癌患者自我效能[J].中国护理管理,2015,15(8):917-920.
[4]谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2014:359-362.
[5]黄雪兰.饮食与运动干预对糖尿病患者血糖控制的影响分析[J].当代医学,2011,17(34):90-92.
[6]杨月欣,贾伟平.中国2型糖尿病膳食指南及解读[J].营养学报,2017,39(6):521-525.
[7]王美.临床护理干预对肥胖多囊卵巢综合征患者激素的影响[J].实用临床医药杂志,2014,18(20):155-156.
[8]郑思远,张莹,龙涛,等.不同胰岛素抵抗及肥胖水平对多囊卵巢综合征患者高雄激素血症特征的影响[J].广东医学,2017,38(3):406-409.
[9]贺媛,彭左旗,韩程成,等.低碳水化合物饮食对改善肥胖型多囊卵巢综合征患者不孕的临床研究[J].中国计划生育学杂志,2015,23(4):235-238.
[10]Loring KR,Holman HR.Self-management education:history,definition,outcomes,and mechanisms[J].Ann Behav Med,2003,26(1):1-7.
[11]王娜娜,万凌屹.综合护理干预对多囊卵巢综合征不孕患者抑郁心理及生活质量的影响[J].中国现代医生,2018,56(4):158-161.
[12]王玉蓉,曹云霞.精神、心理因素与多囊卵巢综合症[J].国外医学(妇幼保健分册),2004,15(5):303-305.