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Періодичних видань (1)
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інформаційний
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Пошуковий запит:
<.>K=motivational counseling, patient-centered care, obesity, anxiety, depression, sleep disorders, eating behavior, serotonin, leptin, lifestyle modification<.>
Загальна кількість знайдених документів
:
1
>
1.
Tkachenko, V. I.
Effectiveness of
motivational
counseling
for
lifestyle
modification
in obese
patient
s using a
patient
-
centered
approach [Text] / V. I. Tkachenko, T. O. Bagro> // Сімейна медицина. Європейські практики. - 2023. -
№ 1
. - P20-27. - Bibliogr. at the end of the art.
MeSH-головна:
ОЖИРЕНИЕ --
OBESITY
(диагностика, диетотерапия, лекарственная терапия, метаболизм, профилактика и контроль, терапия)
ЗДОРОВЫЙ ОБРАЗ ЖИЗНИ -- HEALTH
BEHAVIOR
МОТИВАЦИЯ -- MOTIVATION (действие лекарственных препаратов, физиология)
КОНСУЛЬТИРОВАНИЕ ПО ЛИЧНЫМ ВОПРОСАМ --
COUNSELING
(методы, обучение, организация и управление, тенденции)
БОЛЬНОЙ, СЛЕДОВАНИЕ РЕКОМЕНДАЦИЯМ ВРАЧА --
PATIENT
COMPLIANCE (психология, статистика)
Кл.слова (ненормовані):
motivational
counseling
,
patient
-
centered
care
,
obesity
,
anxiety
,
depression
,
sleep
disorders
,
eating
behavior
,
serotonin
,
leptin
,
lifestyle
modification
Анотація:
Obesity
is a predictor of a significant number of non-communicable diseases. Reduction of body weight by 5–10 % in 6 months, has a positive effect on the prognosis of life and is one of the goals of treatment. To achieve such goals, there is a need for a
patient
-oriented approach, where the degree of individualization corresponds to the personal risks and needs of the
patient
with his involvement in the process of choosing a treatment strategy and forming new flexible life habits through the use of
motivational
counseling
. The objective: is to determine the effectiveness of
motivational
counseling
for
lifestyle
modification
in obese
patient
s of prime working age using a
patient
-oriented approach. Materials and methods. 37
patient
s with
obesity
I (27 people) and II (10 people) degree, aged 38.03±1.27 years (20 women and 17 men) were examined.
Patient
s were given
motivational
counseling
according to the «5 As» system, the
patient
-oriented approach included recommendations regarding the regime and caloric content of food, physical activity (monitoring with a pedometer), compliance with
sleep
hygiene, correction of psycho-emotional
disorders
. Clinical laboratory examination in dynamics after 1 month, 3 months and 6 months included measurements of BMI, waist and hip circumference, body surface area, waist/hip ratio, conicity index, body shape index, abdominal volume index, blood pressure, levels of blood glucose, insulin, HOMA index, cholesterol, lipidogram indicators,
serotonin
and
leptin
. In addition, surveys were conducted using the HADS hospital
anxiety
and
depression
scale, Beck’s scale, Hamilton scale, Dutch
Eating
Behavior
Questionnaire, Epworth
Sleep
iness Scale, Pittsburgh
Sleep
Quality Questionnaire, SF-36, The International Physical Activity Questionnaire, The Finnish Diabetes Risk Score. Statistical analysis was performed using IBM SPSS Statistics, Statistica 12, descriptive statistics Excel 2010. Results. During 6 months of observation,
patient
s lost more than 5 % of their body weight (p<0.05), which was accompanied by a significant decrease in BMI (p<0.01) and an increase in the level of physical activity (p<0.001). The levels of lipid and carbohydrate metabolism exceeded the recommended values and had a positive tendency to decrease during treatment (p>0.05). Assessments of the manifestations of
anxiety
and
depression
according to the HADS
depression
and Hamilton scales,
eating
disorders
,
serotonin
and
leptin
levels, quality of
sleep
, quality of life of
patient
s improved. The prediction of the risk of developing diabetes had significant positive dynamics (p<0.05). Conclusions. The obtained results make prove that the application of of motivational counseling according to the step-by-step system «5 As» with a patient-oriented approach in patients of working age with obesity is an effective method, which is confirmed by reliable positive results and allows to reduce body weight by more than 5 % in 6 months, reduce levels of metabolic disorders, blood pressure, increase physical activity, reduce the manifestations of depression and anxiety, eating disorders, improve the quality of sleep and life of patients, improve the prognosis and reduce the risk of non-infectious diseases.If it is necessary to achieve stricter targets of indicators in obese patients and/or in a shorter time, it is necessary to carry out a further search for effective measures and consider the additional use of pharmaceutical products in prevention.
Дод.точки доступу:
Bagro, T. O.
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