Effect of Pender's Health Promotion Model in Improving the Nutritional Behavior among Women with Polycystic Ovary associated Insulin Resistance

Document Type : Original Article

Authors

1 Assistant Professor of Obstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, Egypt

2 Assistant Professor of Females health& obstetric nursing, Faculty of Nursing, Kafr El-Sheikh University, Egypt

3 lecturer of Community Health Nursing, Faculty of Nursing, Benha University, Egypt

4 lecturer of Obstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, Egypt

10.21608/ejhc.2025.448589

Abstract

Background: One of the main issues and a prevalent, crippling metabolic condition affecting females who are pregnant is insulin resistance linked to polycystic ovarian syndrome. Therefore, one of the most important management strategies is to improve the dietary habits of the impacted females.  Aim: The study aimed to examine the effect of Pender’s health promotion model on improving the nutritional behavior among women with polycystic ovaries associated insulin resistance. Design:  One group, time series (pre-post and follow-up), quasi-experimental research approach was employed.  Study Setting: This study was carried out in the Obstetrics & Gynecology Outpatient Clinic in the Qaliobya Governorate of Egypt, which is connected to Benha University Hospitals.  Sample: A purposive sample of fifty-five females having a medical diagnosis of insulin resistance linked to polycystic ovaries. Tools: A structured interviewing questionnaire, females’ knowledge questionnaire, Pender's health promotion model, and surveys on nutritional behavior and food patterns were the four instruments that were employed. Results: The mean scores of the females under study varied significantly in terms of body mass index , knowledge, Pender's health promotion model components, nutritional behavior, and dietary pattern before, during, and after the intervention. The study females’ total body mass index score before, during, and after the intervention periods showed a statistically significant negative connection with their overall nutritional behavior score. Conclusion: Enhancing females’ understanding, nutritional behavior, and dietary patterns, as well as lowering body mass index over the course of program phases, are all benefits of using Pender's Health Promotion Model. Consequently, the study hypothesis was approved Recommendations: Application of an educational package based on Pender’s health promotion model about risk factors and preventive measures of polycystic ovarian syndrome associated insulin resistance among high risk group women.

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