Pereira Caroline Silveira, Padoan Carolina Stopinski, Garcia Lucas França, Patusco Lucas, Magalhães Pedro V S
Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Trends Psychiatry Psychother. 2019 Jan-Mar;41(1):1-8. doi: 10.1590/2237-6089-2017-0069. Epub 2019 Apr 1.
Exercising regularly has benefits for people with bipolar disorder. Nevertheless, as a group, these patients tend to be less physically active than the general population and little is known from the viewpoint of the patients about the barriers and facilitators to such a practice.
To know the barriers and facilitators perceived by people with bipolar disorder for the practice of exercise.
This study had a descriptive, qualitative, exploratory nature. The investigation method used for data collection was a semi-structured in-depth interview, using grounded theory as theoretical framework.
The data analysis generated two main areas of interest: adherence to regular physical exercise (barriers and facilitators) and the participants' exercise history and perception of disease management, as described below. The main findings were: most of our sample did not exercise regularly, nor knew how exercise can positively influence their disorder; with regard to adherence to physical exercise, the presence of symptoms and stigma were the most important barriers to the practice of physical exercise. Social support, especially from family and friends, could be a facilitator to the practice of exercise.
Even considering the limitations for generalization of qualitative and exploratory studies, understanding perceived barriers and facilitators for the practice of exercise among people who suffer with bipolar disorder may contribute to the promotion of activities in which people with mental illness can participate.
定期锻炼对双相情感障碍患者有益。然而，总体而言，这些患者的身体活动往往比普通人群少，而且从患者的角度来看，对于这种锻炼的障碍和促进因素知之甚少。
了解双相情感障碍患者对锻炼实践所感知到的障碍和促进因素。
本研究具有描述性、定性和探索性。用于数据收集的调查方法是半结构化深度访谈，以扎根理论作为理论框架。
数据分析产生了两个主要感兴趣的领域：坚持定期体育锻炼（障碍和促进因素）以及参与者的锻炼历史和对疾病管理的认知，如下所述。主要发现是：我们的大多数样本没有定期锻炼，也不知道锻炼如何能对他们的疾病产生积极影响；关于坚持体育锻炼，症状的存在和耻辱感是体育锻炼实践的最重要障碍。社会支持，尤其是来自家人和朋友的支持，可能是锻炼实践的一个促进因素。
即使考虑到定性和探索性研究在推广方面的局限性，但了解双相情感障碍患者锻炼实践中所感知到的障碍和促进因素，可能有助于推动精神疾病患者能够参与的活动。
