Kim Hye-Ryoung, Kim Hee-Seung
College of Nursing, Shinhan University, Dongducheon, Korea.
College of Nursing, The Catholic University of Korea, Seoul, Korea.
Nurs Health Sci. 2017 Dec;19(4):509-517. doi: 10.1111/nhs.12375. Epub 2017 Nov 2.
The management of cardiometabolic risk factors, such as abdominal obesity, dyslipidemia, hypertension, and hyperglycemia, is essential for the health of postmenopausal women. In this study, we identified the effects of autonomy-supportive, Web-based lifestyle modification for the management cardiometabolic risk of postmenopausal women, and assessed the mediation effect of intrinsic motivation. This study was a randomized trial involving 71 postmenopausal Korean women. For the intervention group, we provided the Web-based autonomy supports for 12 weeks; however, for the control group, individual consultations on healthy lifestyle was conducted at the first meeting. In the intervention group, cardiometabolic risks ameliorated as follows: waist circumference and waist-to-height ratio decreased by 3.9 cm and 0.03 cm, respectively; triglycerides decreased by 8.5 mg/dl; triglycerides-to-high-density-lipoprotein cholesterol ratio decreased by 0.21; systolic blood pressure decreased by 3.3 mmHg, and the visceral adiposity index decreased. Among the subdomain of intrinsic motivation, perceived competence, effort/importance, and perceived choice showed an association with waist circumference changes. Web-based autonomy supports can be effective in implementation and maintenance, and the amelioration of cardiometabolic risk in postmenopausal women.
管理诸如腹型肥胖、血脂异常、高血压和高血糖等心血管代谢危险因素对绝经后女性的健康至关重要。在本研究中，我们确定了基于网络的自主性支持对绝经后女性心血管代谢风险管理的影响，并评估了内在动机的中介作用。本研究是一项随机试验，涉及71名韩国绝经后女性。对于干预组，我们提供了为期12周的基于网络的自主性支持；然而，对于对照组，在第一次会议上进行了关于健康生活方式的个人咨询。在干预组中，心血管代谢风险改善如下：腰围和腰高比分别下降了3.9厘米和0.03厘米；甘油三酯下降了8.5毫克/分升；甘油三酯与高密度脂蛋白胆固醇比值下降了0.21；收缩压下降了3.3毫米汞柱，内脏脂肪指数下降。在内在动机的子领域中，感知能力、努力/重要性和感知选择与腰围变化有关。基于网络的自主性支持在实施和维持以及改善绝经后女性心血管代谢风险方面可能是有效的。
