Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Int Nurs Rev. 2017 Sep;64(3):405-412. doi: 10.1111/inr.12319. Epub 2016 Nov 28.
This study aimed to explore and describe the experience of making a healthy lifestyle change among the patients with chronic illness.
Despite the existence of different evidence on the critical role of lifestyle in the prevention and management of chronic diseases, many people face challenges in terms of starting and maintaining a healthy lifestyle.
A descriptive qualitative study with in-depth semi-structured interviews was carried out in 2015 in Iran. Thirty-four patients with common chronic illnesses were invited to the study using purposive sampling. The collected data were analysed by content analysis.
The main themes were: trying to remove the perceived threat, considering and trying to do physical activities, considering and planning for a healthy diet, striving to manage stress and having gradual acceptance of new habits and coping with them.
The participants were selected from among those with chronic illness. However, there is also a need to assess the family and healthcare providers' perspectives.
The perceived threat of the disease plays an important role in the process of changing to a healthy lifestyle in Iranian with chronic illnesses. It is necessary for healthcare providers, especially nurses, to use this threat as a golden opportunity to accelerate changes in patients' behaviours.
Findings may help policy makers become aware of the need for nurses to create community-based nursing in Iran. Community nurses can remind patients of perceived threats to their health to motivate them for continued healthy behaviours. Therefore, nursing curricula should be revised and educational programs utilise a community-based health approach.
本研究旨在探索和描述慢性病患者改变健康生活方式的体验。
尽管有大量证据表明生活方式对慢性病的预防和管理具有重要作用，但许多人在开始和维持健康的生活方式方面面临挑战。
这是 2015 年在伊朗进行的一项描述性定性研究，采用深度半结构式访谈。采用目的抽样法邀请 34 名患有常见慢性病的患者参加研究。使用内容分析法对收集到的数据进行分析。
主要主题包括：试图消除感知到的威胁、考虑并尝试进行体育活动、考虑并计划健康饮食、努力管理压力以及逐渐接受新习惯并应对这些习惯。
参与者是从慢性病患者中选择的。但是，还需要评估家庭和医疗保健提供者的观点。
疾病的感知威胁在伊朗慢性病患者改变健康生活方式的过程中起着重要作用。医疗保健提供者，特别是护士，有必要利用这种威胁作为加速患者行为改变的黄金机会。
研究结果可能有助于政策制定者认识到护士在伊朗需要创建基于社区的护理。社区护士可以提醒患者注意他们健康的感知威胁，以激励他们继续保持健康的行为。因此，护理课程应进行修订，并利用以社区为基础的健康方法开展教育计划。
