Department of Public Health, Ghent University, Ghent, Belgium.
J Clin Nurs. 2013 Jun;22(11-12):1569-78. doi: 10.1111/jocn.12076. Epub 2013 Jan 7.
To gain insight into the factors influencing the integration of physical activity and healthy eating into the daily care of individuals with mental disorders (MD) living in sheltered housing and to increase the understanding of the relationships between and complexities of these factors.
Growing attention is given to the implementation of health promotion activities in mental health care. By improving the understanding of perceptions of patients and mental health nurses, health promotion programmes targeting physical activity and healthy eating can be developed that better meet the patients' needs.
A descriptive qualitative study.
Based on a purposive sampling strategy, three focus groups including 17 mental health nurses and individual interviews with 15 patients were conducted.
Although physical and mental health benefits of physical activity and healthy eating were identified, several barriers to integrate healthy lifestyles into the daily life of patients were reported. Important barriers identified by the patients consisted of lack of energy and motivation as a result of the MD, side effects of psychotropic drug use, and hospitalisation. Lack of time and personal views and attitudes towards health promotion were reported by the mental health nurses as important elements influencing the way in which they integrate health promotion in the care provided. Support from the mental health nurse was considered important by the patients in changing their unhealthy lifestyle behaviour.
The results of the study provide insight into important factors influencing the integration of health promotion activities targeting physical activity and healthy eating in individuals with MD living in sheltered housing.
The information derived from this study is useful and relevant in the design and implementation of health promotion interventions targeting physical activity and healthy eating in people with MD living in sheltered housing.
深入了解影响将体力活动和健康饮食融入有精神障碍（MD）人士日常护理的因素，并增加对这些因素之间关系和复杂性的理解。
越来越关注在精神卫生保健中实施健康促进活动。通过提高对患者和精神科护士的看法的理解，可以制定针对体力活动和健康饮食的健康促进计划，更好地满足患者的需求。
描述性定性研究。
基于有目的的抽样策略，进行了三个焦点小组，包括 17 名精神科护士，以及对 15 名患者的个别访谈。
尽管确定了体力活动和健康饮食对身心健康的益处，但据报道，将健康的生活方式融入患者日常生活中存在一些障碍。患者认为重要的障碍包括由于 MD 导致的缺乏能量和动力、精神药物使用的副作用以及住院治疗。精神科护士报告说，缺乏时间和个人对健康促进的看法和态度是影响他们在提供的护理中整合健康促进的重要因素。患者认为来自精神科护士的支持对改变他们不健康的生活方式行为很重要。
该研究的结果深入了解了影响将针对体力活动和健康饮食的健康促进活动融入有 MD 生活在庇护住房中的个体的重要因素。
本研究得出的信息对于设计和实施针对有 MD 生活在庇护住房中的个体的体力活动和健康饮食的健康促进干预措施非常有用和相关。
