The effects of lifestyle guidance and mental health care on improving the carbohydrate metabolism and enhancing the pregnancy rate in obese PCOS patients mental health care

Objective: This study aimed to analyze the influence of lifestyle guidance and mental health care on internal secretions, carbohydrate metabolism, and pregnancy in obese patients with polycystic ovary syndrome (PCOS). Methods: A total of 107 obese PCOS patients admitted to our hospital from January 2015 to August 2017 were selected as the study cohort for a retrospective analysis and were divided into two groups according to the different means of intervention. The cohort included 53 patients in the control group who received routine care and 54 patients in the observation group who received lifestyle guidance and mental health care on the basis of routine care, so as to compare their body mass indexes, internal secretions, carbohydrate metabolisms, insulin resistance, and ability to get pregnant in the two groups after the intervention. Results: (1) The body mass indexes of the observation group were lower than they were in the control group 3 months after the intervention (P<0.05). (2) The testosterone (T), luteinizing hormone (LH), and follicle stimulating hormone (FSH) levels in the observation group were lower than they were in the control group 3 months after the intervention (P<0.05). (3) The fasting blood glucose (FBG), fasting insulin (FINS), and homeostasis model assessment of insulin resistance (HOMA-IR) levels in the observation group were lower than they were in the control group 3 months after the intervention (P<0.05). (4) The pregnancy rate in the observation group was 18.52%, which was higher than the 1.89% in the control group (P<0.05). Conclusion: The intervention of lifestyle guidance and mental health care in obese PCOS patients can improve internal secretions and carbohydrate metabolism and can enhance the pregnancy rate.