Faculty of Nursing, Midwifery and Health, The University of Technology, Sydney, New South Wales, Australia.
Nurs Health Sci. 2012 Mar;14(1):18-24. doi: 10.1111/j.1442-2018.2011.00651.x. Epub 2012 Jan 31.
Obesity is particularly hazardous for people with multiple cardiovascular risk factors and existing cardiovascular disease, although few studies investigate experiences and perceptions of weight loss in this population. This study provides an understanding of participants' knowledge, attitudes, and experiences of managing multiple risk factors and/or existing cardiovascular disease of participants who were undertaking a weight loss program. Thirty-five participants were recruited from the first 50 completing a multicomponent group-based weight loss intervention designed to follow cardiovascular disease and diabetes disease management programs. Four focus group interviews were conducted using a semistructured interview schedule. Data were analyzed using an inductive approach, and themes developed. Participants found the process of weight loss to be complex, dynamic, and challenging, as the conflicting needs of existing health conditions, social support, ambivalence, and time limitations required careful balance. In response, participants determinedly developed and tested strategies based on simplified principles, establishing routines for new health habits and portion control, and going back to basics in food selection. Therefore, weight loss programs for this population need to be specifically tailored to support patients' efforts and strategies.
肥胖对于存在多种心血管风险因素和已患心血管疾病的人群尤其危险，尽管很少有研究调查这一人群的减肥经历和看法。本研究旨在了解参与者在参加减肥计划时对管理多种风险因素和/或已有心血管疾病的了解、态度和经验。从第一个完成多组分基于小组的减肥干预的 50 名参与者中招募了 35 名参与者，该干预旨在遵循心血管疾病和糖尿病疾病管理计划。使用半结构化访谈表进行了 4 次焦点小组访谈。采用归纳法进行数据分析，并开发主题。参与者发现减肥过程既复杂又动态且具有挑战性，因为现有健康状况、社会支持、矛盾心理和时间限制的需求相互冲突，需要仔细平衡。作为回应，参与者坚决制定和测试基于简化原则的策略，为新的健康习惯和份量控制建立常规，并回归食物选择的基础。因此，针对这一人群的减肥计划需要专门定制，以支持患者的努力和策略。
