Wärdig Rikard, Bachrach-Lindström Margareta, Hultsjö Sally, Lindström Torbjörn, Foldemo Anniqa
Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Psychiatric Clinic, Ryhov County Hospital, Jönköping, Sweden.
J Clin Nurs. 2015 Jul;24(13-14):1815-24. doi: 10.1111/jocn.12782. Epub 2015 Feb 9.
To describe how persons with psychosis perceive participation in a lifestyle intervention, and use these perceptions to present factors to for consideration in future interventions.
Metabolic syndrome is common in persons with psychosis. A healthy lifestyle is the primary option for preventing and treating metabolic syndrome, which is why the importance of lifestyle interventions has come into focus among health care professionals. Identifying perceptions of participation in a lifestyle intervention can increase the understanding of how to design future interventions.
A qualitative, phenomenographic approach was selected, using semi-structured interviews.
The sample consisted of 40 participants with a psychotic disorder, who had undergone a lifestyle intervention focusing on theoretical education in healthy eating and physical activities. The interviews were conducted in 2011 and 2012, six to seven months after the intervention had been completed.
The findings comprise three categories that emphasise the need for a moderate intervention level that facilitates participation and thereby social interactions among group members. The experience of success in the intervention supported the perception of oneself as a capable individual. However, it could also be the opposite, another experience of failure.
Content in moderation can facilitate participation, and participants can thereby achieve health benefits and find social contacts. In addition to physical activity and lifestyle habits, interventions should have a social focus and be continuous. Professional support is a prerequisite and should facilitate the participants' ability to mirror themselves against healthy people in society by introducing activities that ordinary people do.
Identifying perceptions of participation in a lifestyle intervention can increase the understanding of how to design and manage future interventions. This is also an aspect that is important to consider in everyday clinical practice.
描述精神病患者如何看待参与生活方式干预，并利用这些看法提出未来干预中需考虑的因素。
代谢综合征在精神病患者中很常见。健康的生活方式是预防和治疗代谢综合征的首要选择，这就是生活方式干预的重要性在医疗保健专业人员中受到关注的原因。识别对参与生活方式干预的看法可以增进对如何设计未来干预措施的理解。
采用定性的现象学方法，使用半结构化访谈。
样本包括40名患有精神障碍并接受过以健康饮食和体育活动理论教育为重点的生活方式干预的参与者。访谈于2011年和2012年进行，在干预完成后的六到七个月。
研究结果包括三个类别，强调需要适度的干预水平，以促进参与并进而促进小组成员之间的社交互动。干预成功的经历支持了将自己视为有能力个体的看法。然而，也可能相反，是另一种失败的经历。
适度的内容可以促进参与，参与者从而可以获得健康益处并找到社交联系。除了体育活动和生活方式习惯外，干预措施应具有社会重点且持续进行。专业支持是一个先决条件，应通过引入普通人进行的活动来促进参与者对照社会中的健康人审视自己的能力。
识别对参与生活方式干预的看法可以增进对如何设计和管理未来干预措施的理解。这也是日常临床实践中需要考虑的一个重要方面。
