Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC Pregnancy Childbirth. 2019 Jan 28;19(1):43. doi: 10.1186/s12884-019-2199-5.
The ability to adopt and implement health promotion behaviors is one of the most important determinants of health status. Various factors affect the successful changing of behaviors and choosing a healthy lifestyle. The present study aims at exploring the experiences of overweight pregnant women in terms of the factors influencing selection and adoption of health promoting behaviors during pregnancy.
This qualitative study reports the findings of individual and group in-depth interviews with 32 overweight pregnant women using semi-structured questions which was conducted in Tabriz-Iran in 2017 and lasted for 6 months. The data collection continued until the saturation of the data. Participants were selected using purposive sampling and study inclusion criteria. Interviews were recorded and transcribed. Thereafter, content analysis was made using MAXQDA v. 10. Strength of data was verified by both participants and external control.
The reported effective factors led to identification of the two themes of two contextual perceived barriers and facilitators, which were classified into four main categories and nine subcategories: 1. Individual barriers (disabilities-additional needs in pregnancy and mental barriers) 2. Socio- environmental barriers (adverse effects of the environment, adverse effects of the relatives and financial pressures) 3. Individual facilitators (intrinsic incentives, abundance and individual skills) 4. Socio- environmental (social and family support, incentive environments, and raising awareness).
The adoption of health behaviors and healthy lifestyle is under the mutual influence of individual characteristics and socio-environmental factors. What should be considered in planning and designing interventions is focused on removing barriers and strengthening facilitators, in particular by moderating social factors and taking into account individual needs and personal expectations.
采取和实施促进健康行为的能力是健康状况的最重要决定因素之一。各种因素影响行为的成功改变和选择健康的生活方式。本研究旨在探讨超重孕妇在怀孕期间选择和采用促进健康行为的影响因素方面的经验。
这是一项定性研究，报告了 2017 年在伊朗大不里士对 32 名超重孕妇进行个人和小组深入访谈的结果，使用半结构化问题进行访谈，持续了 6 个月。数据收集持续到数据饱和。参与者采用目的抽样和研究纳入标准选择。访谈进行了记录和转录。然后，使用 MAXQDA v. 10 进行内容分析。通过参与者和外部控制来验证数据的强度。
报告的有效因素导致确定了两个主题，即两个背景感知障碍和促进因素，这些主题分为四个主要类别和九个子类：1. 个体障碍（残疾-怀孕时的额外需求和心理障碍）2. 社会环境障碍（环境的不利影响、亲属的不利影响和经济压力）3. 个体促进因素（内在激励、丰富和个人技能）4. 社会环境（社会和家庭支持、激励环境和提高认识）。
健康行为和健康生活方式的采用受到个体特征和社会环境因素的相互影响。在规划和设计干预措施时，应重点关注消除障碍和加强促进因素，特别是通过调节社会因素并考虑个人需求和个人期望。
