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中国育龄期肥胖多囊卵巢综合征患者的体重管理经历与需求:一项定性研究

Weight management experiences and needs in obese polycystic ovary syndrome patients of childbearing age in China: a qualitative study.

作者信息

Jiang Hong, Luo Min, Wu Hongjin, Li Xixi

机构信息

Chengdu Medical College, School of Nursing, Chengdu, Sichuan, China.

University of Electronic Science and Technology of China, School of Medicine, Nursing Department, Mianyang Central Hospital, Mianyang, Sichuan, China.

出版信息

Rev Esc Enferm USP. 2025 Apr 14;59:e20240354. doi: 10.1590/1980-220X-REEUSP-2024-0354en. eCollection 2025.

Abstract

OBJECTIVE

To explore the weight management experiences and needs of obese polycystic ovary syndrome patients of reproductive age in China.

METHOD

Thirteen patients were recruited from a tertiary hospital in Sichuan province. Face-to-face structured interviews were conducted using a phenomenological approach, with data analyzed via Colaizzi seven-step method.

RESULTS

Key weight management methods identified included medication, diet, exercise, and habit correction. Coping attitudes varied, with some patients exhibiting positive or negative responses. Experiences revealed short-term adherence to dietary control but difficulty maintaining exercise routines. Patients expressed a need for support from medical staff and family, as well as interest in medications and traditional Chinese medicine to aid weight loss.

CONCLUSION

Insights into the weight management experiences and needs of obese PCOS patients can guide medical staff in addressing these challenges. Attention to patients' and families' emotional well-being during weight management is also crucial for effective intervention.

摘要

目的

探讨中国育龄期肥胖多囊卵巢综合征患者的体重管理经历及需求。

方法

从四川省一家三级医院招募了13名患者。采用现象学方法进行面对面的结构化访谈,并通过Colaizzi七步法对数据进行分析。

结果

确定的关键体重管理方法包括药物治疗、饮食、运动和习惯纠正。应对态度各不相同,一些患者表现出积极或消极的反应。经历显示,患者短期能坚持饮食控制,但难以维持运动习惯。患者表示需要医护人员和家人的支持,以及对有助于减肥的药物和中药感兴趣。

结论

了解肥胖多囊卵巢综合征患者的体重管理经历及需求,可为医护人员应对这些挑战提供指导。在体重管理过程中关注患者及其家人的情绪健康,对有效干预也至关重要。

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