Fieril DrKarolina Petrov, Olsén ProfessorMonika Fagevik, Glantz DrAnna, Premberg Dr Åsa
Primary Health Care, Rehabilitation Olskroken, SE-41665 Göteborg, Sweden; Institute of Physiology and Neuroscience, The Sahlgrenska Academy, University of Gothenburg, Box 430, SE-40530 Göteborg, Sweden.
Institute of Physiology and Neuroscience, The Sahlgrenska Academy, University of Gothenburg, Box 430, SE-40530 Göteborg, Sweden.
Midwifery. 2017 Jan;44:1-6. doi: 10.1016/j.midw.2016.10.011. Epub 2016 Oct 29.
to describe obese women's experiences of participating in a lifestyle intervention and its experienced impact on health and lifestyle.
qualitative method with a phenomenological lifeworld approach. The interviews were analyzed in accordance with the phenomenological method.
11 women who had participated in a lifestyle intervention project, targeting pregnant women with BMI ≥30 in southwestern Sweden, were interviewed a few weeks before delivery.
the essence of these women's experiences was expressed as: implementing new habits required support, from midwives, partners, relatives, friends, or obese pregnant women in the same situation, or by participating in the intervention itself. The support had to be non-judgmental and with a balanced outlook on weight. Participation had taught them about weight gain control. The women were motivated to try to control their gestational weight gain, although not all of them were initially convinced that this would be possible. The essential structure of participation can be described with the following constituents: ''pregnancy encourages change'', ''to be supported by non-judgmental people'', ''from bad habits to conscious choices'' and; ''barriers to change''.
in order to implement new habits, participants expressed a need for support, given with a non-judgmental attitude and a balanced outlook on weight. The women experienced that the lifestyle changes could be less burdensome than previously imagined, and that slight changes could yield unexpectedly successful results. In order to maintain a lifestyle change, obese women must perceive some kind of results, i.e. increased quality of life or weight gain control.
non-judgmental support from midwives is crucial. Affinity with other pregnant obese women in an exercise group or dietary group setting is supportive.
描述肥胖女性参与生活方式干预的经历及其对健康和生活方式的实际影响。
采用现象学生活世界方法的定性研究方法。访谈依据现象学方法进行分析。
选取了11名参与生活方式干预项目的女性，该项目针对瑞典西南部体重指数（BMI）≥30的孕妇，在她们分娩前几周进行访谈。
这些女性经历的本质可表述为：养成新习惯需要助产士、伴侣、亲属、朋友或处于相同情况的肥胖孕妇提供支持，或者通过参与干预项目本身获得支持。这种支持必须不带评判且对体重问题有全面的看法。参与项目让她们了解了体重增加的控制方法。尽管并非所有女性一开始都确信能够控制孕期体重增加，但她们都有动力尝试这样做。参与的基本结构可用以下要素来描述：“怀孕促使改变”“得到不带评判的人的支持”“从坏习惯到有意识的选择”以及“改变的障碍”。
为了养成新习惯，参与者表示需要以不带评判的态度和对体重问题全面的看法提供支持。这些女性体验到生活方式的改变可能比之前想象的负担要小，而且微小的改变可能会产生意想不到的成功结果。为了维持生活方式的改变，肥胖女性必须看到某种成效，即生活质量提高或体重增加得到控制。
助产士提供不带评判的支持至关重要。在运动小组或饮食小组环境中与其他肥胖孕妇建立亲密关系会有所帮助。
