家庭护士食疗模式在超重/肥胖围绝经期综合征病人中的应用效果OA
Application effect of Family Nurse Diet Model in overweight/obese patients with perimenopausal syndrome
目的:验证家庭护士食疗模式在超重/肥胖围绝经期综合征病人中的有效性.方法:采用单盲平行随机对照试验,于2025年5月—8月通过社区招募70例超重/肥胖围绝经期综合征病人,随机分为对照组(n=35)和干预组(n=35),最终干预组和对照组各有31例受试者完成试验.对照组给予常规低热量饮食护理,干预组给予家庭护士食疗模式干预.观察干预6周后两组病人围绝经期综合征症状严重程度、人体成分、睡眠质量及情绪状态的差异.结果:干预6周后,干预组改良Kupperman量表评分降低幅度明显大于对照组(P<0.001),症状严重程度达标率为 87.1%,显著高于对照组的 32.3%(P<0.001);干预组匹兹堡睡眠质量指数评分(PSQI)降低幅度明显大于对照组(P<0.001),睡眠质量达标率为61.3%;焦虑自评量表评分(SAS)降低幅度及情绪障碍双达标率均显著优于对照组(P<0.05).干预组依从性良好率为80.6%,显著高于对照组的51.6%(P=0.016);干预结束后2个月随访显示,干预组体重维持稳定而对照组显著回升(P<0.001),饮食结构优化效果持续保持.结论:验证了家庭护士食疗模式对超重/肥胖围绝经期综合征病人的综合改善效应,能够明显缓解超重/肥胖围绝经期综合征病人更年期症状;有效改善病人睡眠质量和情绪状态;提升病人饮食依从性的同时,使其养成和保持健康的饮食习惯.
Objective:To verify the effectiveness of Family Nurse Diet Model in overweight/obese perimenopausal syndrome patients.Methods:A single-blind parallel randomized controlled trial was conducted.From May to August 2025,70 overweight/obese patients with perimenopausal syndrome were recruited through communities,and randomly divided into a control group(n=35)and an intervention group(n=35).Ultimately,31 subjects in each group completed the trial.The control group received routine low-calorie dietary nursing,while the intervention group received intervention based on the Family Nurse Diet Model.The differences in climacteric symptom severity,body composition,sleep quality and emotional state were observed between the two groups after 6 weeks of intervention.Results:After 6 weeks of intervention,the reduction in the modified Kupperman score in the intervention group was significantly greater than that in the control group(P<0.001).The rate of achieving symptom severity criteria was 87.1%in the intervention group,significantly higher than 32.3%in the control group(P<0.001).The reduction in the Pittsburgh Sleep Quality Index(PSQI)score in the intervention group was significantly greater than that in the control group(P<0.001),and the sleep quality compliance rate was 61.3%.The reduction in the Self-Rating Anxiety Scale(SAS)score and the double compliance rate for emotional disorders were significantly better than those in the control group(P<0.05).The compliance rate of the intervention group was 80.6%,significantly higher than 51.6%in the control group(P=0.016).Two months after the intervention,follow-up showed that the weight of the intervention group remained stable while that of the control group significantly increased(P<0.001),and the effect of optimizing the dietary structure persisted.Conclusion:This study verified the comprehensive improvement effect of the Family Nurse Diet Model on patients with overweight/obesity and perimenopausal syndrome.It could significantly alleviate the menopausal symptoms of patients with overweight/obesity and perimenopausal syndrome;effectively improve the sleep quality and emotional state of patients;enhance the dietary compliance of patients and cultivate and maintain healthy eating habits.
凌璇;韩世范;闫蕊;马辰婧;刘洽;赵奕雯;凌雪婷;张珺;张欢
030001,山西医科大学护理学院030001,山西医科大学护理学院||山西医科大学第一医院||山西医学期刊社有限责任公司||山西省大健康产教融合重大平台载体与实训基地||山西医科大学食疗科技研究中心||山西省食疗和农产品处方产业技术创新战略联盟山西医科大学第一医院||030001,山西医科大学护理学院山西医科大学医学科学院030001,山西医科大学护理学院山西医学期刊社有限责任公司山西医科大学医学科学院030001,山西医科大学护理学院山西全能家庭护士医药科技有限公司
围绝经期综合征更年期综合征家庭护士食疗模式非营养素饮食干预超重肥胖随机对照试验
perimenopausal syndromemenopausal syndromeFamily Nurse Diet Model,FNDMnon-nutrientsdietary interventionoverweightobesityrandomized controlled trial
《全科护理》 2026 (12)
2203-2210,8
山西省食疗和农产品处方产业技术创新战略联盟.
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