自我效能感、医疗依从性对超重/肥胖不孕症患者孕前减重影响的路径分析被引量：12

Path Analysis of the Influence of Self-efficacy and Medical Compliance on Pre-pregnancy Weight Loss of the Overweight/Obese Infertility Patients

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摘要目的探讨超重/肥胖不孕症患者的一般自我效能感、医疗依从性对患者减重效果的影响,并分析其影响路径。方法2019年8月至2020年1月,采用便利抽样方法选取兰州市某三级甲等综合性医院生殖医学中心120例超重/肥胖不孕患者为研究对象,采用一般自我效能感量表、慢性病医疗依从性量表对其进行调查,并对减重影响进行路径分析。结果超重/肥胖不孕症患者体重平均减轻(5.00±3.99)kg,减重占比为(6.35±4.58)%;路径分析显示,患者一般自我效能感,用药依从性及自我监测依从性对减重效果有直接影响也有间接影响,行为改变依从性对患者减重效果具有直接影响。结论一般自我效能感、用药依从性、自我监测依从性及行为改变依从性是影响超重/肥胖不孕症患者减重效果的重要因素,护理人员应注重提高患者自我效能及其对治疗的依从性,从而有效地改善患者减重效果。 Objective To explore the effect of the self-efficacy and medical compliance on weight loss of overweight/obese infertility patients,and to analyze the influence paths.Methods 120 overweight/obese infertility patients in a Reproductive Medicine Center from August 2019 to January 2020 were selected by the convenience sampling method.The General Self-efficacy Scale and the Medication Compliance Scale for Chronic Diseases were used to conduct questionnaire surveys,and to analyze the influence paths of weight loss effect.Results Body mass of overweight/obese infertility patients decreased by 5.00±3.99 kg averagely,and the percentage of weight loss is 6.35±4.58 percent.Path analysis showed that the general self-efficacy,the medication compliance and self-monitoring compliance of patients directly and indirectly affected weight loss effect,and behavior change compliance directly affected weight loss effect of patients.Conclusions The general self-efficacy,medication compliance,self-monitoring compliance and behavior change compliance are important factors affecting weight loss of overweight/obese infertility patients.Nursing staff needs to pay attention to the self-efficacy and medication compliance of patients,so as to effectively improve weight loss effect of patients.

作者邵洁郭静波廖娟王董慧赵晴胡俊平 SHAO Jie;GUO Jingbo;LIAO Juan;WANG Donghui;ZHAO Qing;HU Junping(School Of Nursing,LanZhou University,Lanzhou 730000,Gansu Province,China;Reproductive Medicine Center,The First Hospital of Lanzhou University,Gansu Province,Lanzhou 730000,China)

机构地区兰州大学护理学院兰州大学第一医院生殖医学中心

出处《解放军护理杂志》 CSCD 北大核心 2021年第4期37-40,共4页 Nursing Journal of Chinese People's Liberation Army

关键词超重/肥胖不孕症减重自我效能感依从性 infertility obesity/overweight weight loss self-efficacy compliance

分类号 R473.71 [医药卫生—护理学]

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