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The Effect of a Supportive-Educative Nursing Intervention on Weight Loss and Perceived Self Care in Overweight Women With Metabolic Syndrome

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Date Issued:
2007
Summary:
Metabolic syndrome is a constellation of risk factors that are precursors to diabetes and cardiovascular disease. More women than men are diagnosed with metabolic syndrome. Emphasis on diagnosis of pre-diabetes has resulted in further interest in metabolic syndrome and the need for weight reduction. Advanced practice nurses care for women with overweight and obesity in the primary care setting; however there is a lack of evidence to support the effectiveness of nursing interventions to assist women with metabolic syndrome lose weight. Based on Orem's Self-Care Deficit Nursing Theory, this study investigated the use of a specific supportive-educative nursing intervention to assist individuals make healthy lifestyle choices to reduce body weight. A pre-test post-test, two group experimental design was used. It was hypothesized that women given individualized support, education, and guidance about lifestyle modification, which included carbohydrate counting, would lose more weight and have greater self-care ability than women given general support and education. The sample included 51 pre-menopausal women between ages 19 and 55 who had been diagnosed with metabolic syndrome. Body weight and perceived self-care, using the Self-as-Carer inventory, were measured at the onset of the study and again three months later. The two groups did not differ significantly as to weight or perceived self-care at baseline or at conclusion of the study. A repeated measures analysis of variance for weight loss and perception of self care was calculated and the results indicated that there was no significant difference in weight loss (p=.13) or perception of self care (p=.85) between the two groups. The use of a supportive-educative individualized nursing intervention enhanced participant awareness of healthy lifestyle choices. Further research is needed to determine the effectiveness of the intervention with a larger, more ethnically diverse sample and with participants diagnosed with other metabolic disorders.
Title: The Effect of a Supportive-Educative Nursing Intervention on Weight Loss and Perceived Self Care in Overweight Women With Metabolic Syndrome.
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Name(s): Fleck, Laureen
Parker, Marilyn, Thesis advisor
Florida Atlantic University, Degree grantor
Type of Resource: text
Genre: Electronic Thesis Or Dissertation
Date Created: 2007
Date Issued: 2007
Publisher: Florida Atlantic University
Place of Publication: Boca Raton, Fla.
Physical Form: application/pdf
Extent: 95 p.
Language(s): English
Summary: Metabolic syndrome is a constellation of risk factors that are precursors to diabetes and cardiovascular disease. More women than men are diagnosed with metabolic syndrome. Emphasis on diagnosis of pre-diabetes has resulted in further interest in metabolic syndrome and the need for weight reduction. Advanced practice nurses care for women with overweight and obesity in the primary care setting; however there is a lack of evidence to support the effectiveness of nursing interventions to assist women with metabolic syndrome lose weight. Based on Orem's Self-Care Deficit Nursing Theory, this study investigated the use of a specific supportive-educative nursing intervention to assist individuals make healthy lifestyle choices to reduce body weight. A pre-test post-test, two group experimental design was used. It was hypothesized that women given individualized support, education, and guidance about lifestyle modification, which included carbohydrate counting, would lose more weight and have greater self-care ability than women given general support and education. The sample included 51 pre-menopausal women between ages 19 and 55 who had been diagnosed with metabolic syndrome. Body weight and perceived self-care, using the Self-as-Carer inventory, were measured at the onset of the study and again three months later. The two groups did not differ significantly as to weight or perceived self-care at baseline or at conclusion of the study. A repeated measures analysis of variance for weight loss and perception of self care was calculated and the results indicated that there was no significant difference in weight loss (p=.13) or perception of self care (p=.85) between the two groups. The use of a supportive-educative individualized nursing intervention enhanced participant awareness of healthy lifestyle choices. Further research is needed to determine the effectiveness of the intervention with a larger, more ethnically diverse sample and with participants diagnosed with other metabolic disorders.
Identifier: FA00000620 (IID)
Collection: FAU Electronic Theses and Dissertations Collection
Note(s): Includes bibliography.
Dissertation (Ph.D.)--Florida Atlantic University, 2007.
Christine E. Lynn College of Nursing
Subject(s): Metabolic syndrome
Obesity--Treatment
Lipids--Metabolism--Disorders--Treatment
Integrated delivery of health care
Self-care, Health
Nurse and patient
Held by: Florida Atlantic University Libraries
Persistent Link to This Record: http://purl.flvc.org/fau/fd/FA00000620
Sublocation: Digital Library
Use and Reproduction: Copyright © is held by the author with permission granted to Florida Atlantic University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
Use and Reproduction: http://rightsstatements.org/vocab/InC/1.0/
Host Institution: FAU
Is Part of Series: Florida Atlantic University Digital Library Collections.