Su Mei-Chen, Lin Hung-Ru, Chu Nain-Feng, Huang Chih-Hsung, Tsao Lee-Ing
Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
J Clin Nurs. 2015 Jul;24(13-14):1849-59. doi: 10.1111/jocn.12806. Epub 2015 Mar 9.
To develop a descriptive theory for the weight loss experiences of obese perimenopausal women with metabolic syndrome.
Obesity and metabolic syndrome both pose a threat to the health of perimenopausal women; therefore, understanding perimenopausal women's subjective feelings and experiences is beneficial to establishing effective prevention strategies. However, studies have rarely explored these relevant experiences.
A qualitative study using the grounded theory method to establish a descriptive theory.
Eighteen obese perimenopausal women with metabolic syndrome aged 45-60 years participated in comprehensive interviews.
'Crossing the gaps to making life modifications' was the core category, and 'the awareness of weight gain and health alarm' was the antecedent condition. In the weight loss experience, the following three interaction categories were identified: (1) 'experiencing bad feelings,' (2) 'encountering obstacles' and (3) 'making efforts to transition to a new life.' Some women adhered to new life habits through perceiving social support and by using self-incentives. Finally, women enjoyed and mastered self-monitoring of their health in their new life, and practiced new changes as part of their life. However, some participants felt that making changes to their life was too time-consuming. Therefore, these women chose to live with their abnormal health without making changes.
Obese perimenopausal women with metabolic syndrome experienced various gaps in their weight loss process. Although they struggled with many obstacles, these women were able to learn from their experiences and face their health challenges.
These findings can guide healthcare professionals to provide appropriate interventions to understand the hidden health problems of this particular group of women. Healthcare professionals should develop a set of plans by which women receive a complete weight loss program and support from professionals and family.
为患有代谢综合征的肥胖围绝经期女性的减肥经历建立一种描述性理论。
肥胖和代谢综合征均对围绝经期女性的健康构成威胁；因此，了解围绝经期女性的主观感受和经历有助于制定有效的预防策略。然而，很少有研究探讨这些相关经历。
一项采用扎根理论方法建立描述性理论的定性研究。
18名年龄在45至60岁之间患有代谢综合征的肥胖围绝经期女性参与了全面访谈。
“跨越差距以改变生活方式”是核心类别，“体重增加意识和健康警报”是前置条件。在减肥经历中，确定了以下三个相互作用类别：（1）“经历不良情绪”，（2）“遇到障碍”，（3）“努力过渡到新生活”。一些女性通过感知社会支持和自我激励来坚持新的生活习惯。最后，女性在新生活中享受并掌握了对自身健康的自我监测，并将新的改变作为生活的一部分加以实践。然而，一些参与者认为改变生活太耗时。因此，这些女性选择在健康异常的情况下生活而不做改变。
患有代谢综合征的肥胖围绝经期女性在减肥过程中经历了各种差距。尽管她们与许多障碍作斗争，但这些女性能够从经历中学习并面对健康挑战。
这些发现可指导医疗保健专业人员提供适当的干预措施，以了解这一特定女性群体隐藏的健康问题。医疗保健专业人员应制定一套计划，使女性能够获得完整的减肥计划以及来自专业人员和家庭的支持。
