Visram Shelina, Crosland Ann, Cording Helen
Community, Health and Education Studies Research Centre, Northumbria University.
Br J Community Nurs. 2009 Nov;14(11):495-501. doi: 10.12968/bjcn.2009.14.11.45008.
Numerous studies have sought to investigate the causes of obesity and the effectiveness of interventions for its treatment. However, there is little published evidence to describe patients' experiences of becoming and being obese. This paper reports on a qualitative study to explore the views and experiences of patients who had recently completed a primary care-based weight management intervention. Weight gain was often attributed to life events that caused changes in appetite and activity levels, rather than directly attributed to over-eating or inactivity. Triggers to help-seeking included health concerns, image factors and past experiences of stigmatization. Personalized messages and ongoing support from professionals and peers were identified as facilitators to successful weight management. This paper has implications for the role of primary and community care staff in the prevention, treatment and management o obesity, in terms of supporting patients through significant life events and encouraging them to access services.
众多研究试图探究肥胖的成因以及肥胖治疗干预措施的有效性。然而，鲜有已发表的证据来描述患者肥胖及维持肥胖状态的经历。本文报告了一项定性研究，以探究近期完成基于初级保健的体重管理干预措施的患者的观点和经历。体重增加通常归因于导致食欲和活动水平发生变化的生活事件，而非直接归因于暴饮暴食或缺乏运动。寻求帮助的触发因素包括健康问题、形象因素以及过去遭受污名化的经历。专业人员和同伴的个性化信息及持续支持被视为成功体重管理的促进因素。本文对初级保健和社区护理人员在肥胖预防、治疗和管理方面的作用具有启示意义，即要在重大生活事件中支持患者，并鼓励他们利用相关服务。
