Personalized Nursing Approaches In Pcos Management: Impact On Demographic And Clinical Parameters And Their Relationship With Anthropometric Measurements

Abstract

 Background: Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder affecting women of reproductive age, characterized by irregular menstrual cycles, hyperandrogenism, and polycystic ovaries. Effective management of PCOS requires a combination of lifestyle modifications and pharmacological treatments to mitigate associated metabolic complications. Objective: This study aimed to evaluate the impact of a comprehensive nursing intervention package on demographic, clinical, and anthropometric variables among women with PCOS at selected hospitals in Chennai, India. Methods: A quasi-experimental pre-and post-test design was employed, involving 200 women with PCOS divided equally into experimental and control groups. The intervention included video-assisted teaching on PCOS, investigator-guided aerobic exercises, and needs-based dietary prescriptions. Data were collected on demographic variables, clinical parameters, and anthropometric measurements, specifically BMI and waist-hip ratio. Statistical analysis was performed using SPSS Version 28, employing descriptive and inferential statistics. Results: The pre-test results showed no significant differences between the experimental and control groups in demographic and clinical variables, ensuring comparability. Post-intervention, the experimental group exhibited significant reductions in BMI and waist-hip ratio compared to the control group. The mean BMI of the experimental group decreased from 28.2 to 22.38, and the waist-hip ratio reduced from 89.145 to 77.44, with p-values <0.001 for both measures. These improvements highlight the intervention's effectiveness in reducing obesity and metabolic risk factors associated with PCOS. Conclusion: The comprehensive nursing intervention significantly improved anthropometric measurements among women with PCOS, emphasizing the importance of a multidisciplinary approach in managing the condition. Future research should focus on diverse populations, extended follow-up periods, and the individual components of the intervention to further optimize PCOS management strategies.