生物心理社会护理干预对多囊卵巢综合征女性情绪状态、身体意象及生活质量的影响：一项准实验研究
Effect of bio-psychosocial nursing intervention on emotional status, body image, and quality of life of women with polycystic ovarian syndrome: a quasi-experimental study.
作者信息
Shereda Hanaa M Abo, Shokr Eman A, Radwan Hanaa A, Alqersh Doaa Lotfi Afifi, Hashem Shereen Roushdy, Konsouh Ashraf Mohamed El-Saiyed, Kasemy Zeinab A, Nada Hanan E
机构信息
Department of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Shibin El Kom, 32511, Egypt.
College of Nursing, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, 11481, Saudi Arabia.
出版信息
BMC Nurs. 2025 Jul 8;24(1):887. doi: 10.1186/s12912-025-03483-1.
BACKGROUND
Polycystic ovarian syndrome (PCOS), which is a significant cause of infertility, has a significant impact on more than just physical health. It frequently results in emotional stress, a low quality of life, and body image issues. The purpose of this study was to determine how a nursing program that considers social, emotional, and physical factors would benefit women with PCOS.
METHODS
A quasi-experimental research design was conducted from February 2023 to May 2024 on 60 PCOs patients distributed as study and control groups at the obstetric and gynecological outpatients' clinics department of Shebin Elkom, Teaching Hospital, Menoufia Governorate, Egypt. Four tools were used for data collection: A structured interview questionnaire, the Depression, Anxiety, and Stress Scale (DASS-21), the Body Self-Image Questionnaire-Short Form (BSIQSF), and the Modified Polycystic Ovary Syndrome Health-Related Quality of Life Questionnaire (MPCOSQ). Numbers and percentages were used to represent Categorical data. The chi-squared test was used to compare variables with categorical data. Data analysis was conducted using SPSS v20 software.
RESULTS
There was a highly statistically significant difference (P < 0.001) between the two groups pre- and post-intervention regarding body image and quality of life for women with PCO. There was a statistically significant difference between women in the studied groups at follow-up after 12 months regarding FSH level and anthropometric (P = 0.007). Also, there was a highly statistically significant difference between the study and control group regarding depression, anxiety, and stress at follow-up after 12 months (P < 0.001).
CONCLUSION
Biopsychosocial nursing intervention had a significant effect on improving body image, depression, anxiety, stress, and the overall quality of life in women with PCOS.
RECOMMENDATIONS
Women with PCOS should be managed based on a holistic, multidisciplinary approach that incorporates not only physical and medical needs but also psychological and educational needs to enhance awareness, promote early recognition, improve psychological well-being, and health-related quality of life.
CLINICAL TRIAL NUMBER
Not applicable.
背景
多囊卵巢综合征（PCOS）是导致不孕的重要原因，其影响不仅限于身体健康。它经常导致情绪压力、生活质量低下和身体形象问题。本研究的目的是确定一个综合考虑社会、情感和身体因素的护理项目如何使患有PCOS的女性受益。
方法
2023年2月至2024年5月，在埃及明亚省谢宾埃尔科姆教学医院妇产科门诊，对60名PCOS患者进行了准实验研究设计，将其分为研究组和对照组。使用了四种工具进行数据收集：结构化访谈问卷、抑郁、焦虑和压力量表（DASS-21）、身体自我形象问卷简表（BSIQSF）和改良的多囊卵巢综合征健康相关生活质量问卷（MPCOSQ）。分类数据用数字和百分比表示。卡方检验用于比较分类数据的变量。使用SPSS v20软件进行数据分析。
结果
两组在干预前后，PCOS女性的身体形象和生活质量方面存在高度统计学显著差异（P < 0.001）。研究组女性在12个月随访时，FSH水平和人体测量方面存在统计学显著差异（P = 0.007）。此外，研究组和对照组在12个月随访时的抑郁、焦虑和压力方面存在高度统计学显著差异（P < 0.001）。
结论
生物心理社会护理干预对改善PCOS女性的身体形象、抑郁、焦虑、压力和整体生活质量有显著效果。
建议
对于患有PCOS的女性，应采用整体、多学科的方法进行管理，不仅要满足身体和医疗需求，还要考虑心理和教育需求，以提高认识、促进早期识别、改善心理健康和与健康相关的生活质量。
临床试验编号
不适用。
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