Department of Nursing and Midwifery, Kazerun Medical Sciences Branch, Islamic Azad University, Kazerun, Iran.
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
BMC Health Serv Res. 2022 Aug 5;22(1):998. doi: 10.1186/s12913-022-08334-2.
Polycystic ovary syndrome (PCOS) is the most common endocrine disorder among women. Given the prevalence of this disease in adolescent girls as well as its serious physical, psychological, and social consequences, the present study aimed to explore the health system-related needs for healthy nutritional behaviors in adolescent girls with PCOS.
This qualitative content analysis was conducted in Shiraz, Iran between November 2016 and October 2017. Eighteen Adolescent girls with PCOS and 15 healthcare providers (midwives, gynecologists, nutritionists, and endocrinologists) were selected through purposeful sampling with maximum variation strategy. Data were collected through individual in-depth and semi-structured interviews, focus group discussions, and field note, and simultaneously analyzed using the conventional qualitative content analysis method.
Three main categories that appeared included: 1) education and counseling on healthy nutrition and support for adolescent girls with PCOS with sub-categories of "empowering adolescent girls with PCOS to adopt healthy nutritional behaviors", "providing services and education about healthy nutritional behaviors as a team", and "the health team attention to the concerns of adolescent girls with PCOS and closely following the disease status, 2) solving communication problems with sub-categories of "proper interactions and building trust between health team members and adolescent girls" and "proper interactions between members of the health team", and 3) developing the optimal structure for providing health services with sub-categories of "solving problems related to human resources, "promoting the position of health issues related to adolescent girls in the health system", and "promoting policy-making in the field of nutritional health of adolescent girls".
Based on the results of the present study, necessary measures should be taken to educate and advise on healthy nutrition, and to support adolescent girls with PCOS. The desired structure should also be developed to provide health services to these girls. By solving communication problems and building trust between the members of the health team and these girls, one can guide them to adopt healthy nutritional behaviors.
多囊卵巢综合征（PCOS）是女性最常见的内分泌疾病。鉴于这种疾病在少女中的流行程度，以及其对身体、心理和社会造成的严重后果，本研究旨在探讨多囊卵巢综合征少女健康营养行为的卫生系统相关需求。
本定性内容分析于 2016 年 11 月至 2017 年 10 月在伊朗设拉子进行。采用最大变异策略的目的抽样选择了 18 名多囊卵巢综合征少女和 15 名医疗保健提供者（助产士、妇科医生、营养师和内分泌学家）。通过个人深入和半结构化访谈、焦点小组讨论和现场记录收集数据，并同时使用常规定性内容分析方法进行分析。
出现了三个主要类别，包括：1）对多囊卵巢综合征少女进行健康营养教育和咨询，并提供健康营养行为服务和教育，作为一个团队，以及关注多囊卵巢综合征少女的健康团队，并密切关注疾病状况；2）解决沟通问题，包括健康团队成员与多囊卵巢综合征少女之间的适当互动和建立信任，以及健康团队成员之间的适当互动；3）制定提供健康服务的最佳结构，包括解决与人力资源相关的问题，促进与少女相关的健康问题在卫生系统中的地位，以及促进少女营养健康领域的政策制定。
基于本研究的结果，应采取必要措施，对健康营养进行教育和咨询，为多囊卵巢综合征少女提供支持。还应制定理想的结构，为这些女孩提供健康服务。通过解决健康团队成员与这些女孩之间的沟通问题并建立信任，可以指导他们采取健康的营养行为。
