Factors affecting the adoption of health-promoting behaviours in patients with polycystic ovary syndrome: a cross-sectional study

Yunmei Guo; Ying Liu; Xing Yan; Rui Ding; Huiwen Tan; Lianhong Wang

doi:10.1136/bmjopen-2021-056478

Factors affecting the adoption of health-promoting behaviours in patients with polycystic ovary syndrome: a cross-sectional study

BMJ Open. 2022 Mar 30;12(3):e056478. doi: 10.1136/bmjopen-2021-056478.

Authors

Yunmei Guo^{1

2}, Ying Liu^{1

2}, Xing Yan^{1

2}, Rui Ding^{1

2}, Huiwen Tan^{1

2}, Lianhong Wang^{3

2}

Affiliations

¹ Family Planning Department, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
² Nursing Department, Zunyi Medical University, Zunyi, China.
³ Family Planning Department, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China 2726912415@qq.com.

Abstract

Objective: This study aimed to investigate health-promoting lifestyle status and associated risk factors in patients with polycystic ovary syndrome (PCOS).

Design: Cross-sectional study.

Setting: This study was conducted at a tertiary hospital in Guizhou, China from December 2020 to June 2021.

Participants: A total of 366 participants (18-45 years) diagnosed with PCOS were recruited from the outpatient departments.

Measures: Sociodemographic characteristics were collected, and health-promoting behaviours were measured using the Health-Promoting Lifestyle Profile scale. Anxiety status was measured using the Zung's Self-Rating Anxiety Scale, depression status using the Zung's Self-Rating Depression Scale and self-efficacy using the Managing Chronic Disease 6-Item Scale. Multiple stepwise linear regression was conducted to assess the risk factors associated with the health-promoting behaviours of the study participants.

Results: The participants had a poor health-promoting behaviours (88.54±17.44). The highest score in all dimensions was spiritual growth (16.68±4.98), while physical activity (12.71±2.68) was the lowest. Multiple regression analysis revealed that the main factors influencing the development and maintenance of health-promoting behaviours among participants were education (B=10.788, p<0.001), depression (B=-0.377, p<0.001), anxiety (B=-0.333, p<0.001) and self-efficacy (B=0.938, p=0.002). The model showed 74.40% variance shared between the dependent and independent variables (R²=74.40, F=264.633, p<0.001).

Conclusion: Health-promoting behaviours are minimal among patients with PCOS, and improving negative emotions and enhancing behavioural awareness and self-efficacy are necessary to increase the adoption of health-promoting behaviours among patients with PCOS.

Trial registration number: ChiCTR2000034572.

Keywords: gynaecology; health & safety; information management.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Anxiety
Anxiety Disorders / complications
Cross-Sectional Studies
Exercise / psychology
Female
Humans
Polycystic Ovary Syndrome* / complications

Associated data

ChiCTR/ChiCTR2000034572