Division of Endocrinology, Diabetes, and Hypertension, Brigham and Women's Hospital, 221 Longwood Ave, Boston, MA 02115, USA.
BMC Pregnancy Childbirth. 2013 Dec 21;13:240. doi: 10.1186/1471-2393-13-240.
A history of preeclampsia is a risk factor for the future development of hypertension and cardiovascular disease (CVD). The objective of this study was to assess, in women with prior preeclampsia, the level of knowledge regarding the link between preeclampsia and CVD, motivators for and barriers to lifestyle change and interest in a lifestyle modification program to decrease CVD risk following a pregnancy complicated by preeclampsia.
Twenty women with a history of preeclampsia participated in 5 phone-based focus groups. Focus groups were recorded, transcribed, and analyzed. Qualitative content analysis was used to identify common themes across focus groups. Consensus was reached on a representative set of themes describing the data.
Women with prior preeclampsia were in general unaware of the link between preeclampsia and future CVD but eager to learn about this link and motivated to achieve a healthy lifestyle. Major perceived barriers to lifestyle change were lack of time, cost of healthy foods and family responsibilities. Perceived facilitators included knowledge of the link between preeclampsia and CVD, a desire to stay healthy, and creating a healthy home for their children. Women with prior preeclampsia were interested in the idea of a web-based program focused on lifestyle strategies to decrease CVD risk in women.
Women with prior preeclampsia were eager to learn about the link between preeclampsia and CVD and to take steps to reduce CVD risk. A web-based program to help women with prior preeclampsia adopt a healthy lifestyle may be an appropriate strategy for this population.
子痫前期病史是未来高血压和心血管疾病（CVD）发展的一个风险因素。本研究的目的是评估有子痫前期病史的女性对子痫前期与 CVD 之间联系的认知水平、改变生活方式的动机和障碍，以及对降低与子痫前期相关妊娠后 CVD 风险的生活方式改变计划的兴趣。
20 名有子痫前期病史的妇女参加了 5 次基于电话的焦点小组。对焦点小组进行了录音、转录和分析。采用定性内容分析方法识别焦点小组中常见的主题。就描述数据的一组有代表性的主题达成共识。
有子痫前期病史的妇女普遍不知道子痫前期与未来 CVD 之间的联系，但渴望了解这一联系，并积极追求健康的生活方式。改变生活方式的主要感知障碍是缺乏时间、健康食品的成本和家庭责任。感知的促进因素包括对子痫前期与 CVD 之间联系的了解、保持健康的愿望，以及为孩子创造一个健康的家庭环境。有子痫前期病史的妇女对一个专注于降低女性 CVD 风险的生活方式策略的基于网络的计划的想法很感兴趣。
有子痫前期病史的妇女渴望了解子痫前期与 CVD 之间的联系，并采取措施降低 CVD 风险。针对有子痫前期病史的妇女的基于网络的计划，帮助她们采用健康的生活方式，可能是该人群的一个合适策略。
