Family Planning Department, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Nursing Department, Zunyi Medical University, Zunyi, China.
BMJ Open. 2022 Mar 30;12(3):e056478. doi: 10.1136/bmjopen-2021-056478.
This study aimed to investigate health-promoting lifestyle status and associated risk factors in patients with polycystic ovary syndrome (PCOS).
Cross-sectional study.
This study was conducted at a tertiary hospital in Guizhou, China from December 2020 to June 2021.
A total of 366 participants (18-45 years) diagnosed with PCOS were recruited from the outpatient departments.
Sociodemographic characteristics were collected, and health-promoting behaviours were measured using the Health-Promoting Lifestyle Profile scale. Anxiety status was measured using the Zung's Self-Rating Anxiety Scale, depression status using the Zung's Self-Rating Depression Scale and self-efficacy using the Managing Chronic Disease 6-Item Scale. Multiple stepwise linear regression was conducted to assess the risk factors associated with the health-promoting behaviours of the study participants.
The participants had a poor health-promoting behaviours (88.54±17.44). The highest score in all dimensions was spiritual growth (16.68±4.98), while physical activity (12.71±2.68) was the lowest. Multiple regression analysis revealed that the main factors influencing the development and maintenance of health-promoting behaviours among participants were education (B=10.788, p<0.001), depression (B=-0.377, p<0.001), anxiety (B=-0.333, p<0.001) and self-efficacy (B=0.938, p=0.002). The model showed 74.40% variance shared between the dependent and independent variables (R=74.40, F=264.633, p<0.001).
Health-promoting behaviours are minimal among patients with PCOS, and improving negative emotions and enhancing behavioural awareness and self-efficacy are necessary to increase the adoption of health-promoting behaviours among patients with PCOS.
ChiCTR2000034572.
本研究旨在探讨多囊卵巢综合征（PCOS）患者的健康促进生活方式状况及其相关危险因素。
横断面研究。
本研究于 2020 年 12 月至 2021 年 6 月在中国贵州的一家三级医院进行。
共招募了 366 名（18-45 岁）来自门诊的 PCOS 患者。
收集社会人口统计学特征，使用健康促进生活方式量表测量健康促进行为。焦虑状况采用zung 自评焦虑量表测量，抑郁状况采用zung 自评抑郁量表测量，自我效能采用慢性病管理 6 项量表测量。采用多元逐步线性回归分析评估与研究参与者健康促进行为相关的危险因素。
参与者的健康促进行为较差（88.54±17.44）。所有维度中得分最高的是精神成长（16.68±4.98），而身体活动（12.71±2.68）得分最低。多元回归分析显示，影响参与者健康促进行为发展和维持的主要因素是教育（B=10.788，p<0.001）、抑郁（B=-0.377，p<0.001）、焦虑（B=-0.333，p<0.001）和自我效能（B=0.938，p=0.002）。该模型显示，因变量和自变量之间有 74.40%的方差是共同的（R=74.40，F=264.633，p<0.001）。
多囊卵巢综合征患者的健康促进行为很少，改善负面情绪，增强行为意识和自我效能感，是提高多囊卵巢综合征患者健康促进行为的必要措施。
ChiCTR2000034572。
