Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
J Clin Nurs. 2023 Mar;32(5-6):834-846. doi: 10.1111/jocn.16379. Epub 2022 Jun 2.
To describe experiences of living with obesity before the start of a group-based lifestyle intervention.
Obesity is a chronic disease that affects a person's physical and psychological health. Increased knowledge of experiences of living with obesity is required.
A qualitative study with a descriptive design.
Semi-structured individual interviews with 17 participants living with obesity (Body Mass Index 32-49) were conducted between October and November 2019. The interviews were analysed using qualitative content analysis. The COREQ checklist was followed.
The analysis resulted in one main theme: Struggling for a lighter tomorrow and three subthemes: Suffering, Resilience and Need for support in making changes. For the majority of the participants, living with obesity was a lifelong struggle involving suffering on different levels. Yet despite this, the participants had not given up and hoped for a better life. They showed a degree of resilience and motivation, and a perceived ability to achieve lifestyle changes. However, there was a pronounced need for support to help them achieve this.
Living with obesity is complex and carries a risk of medical complications as well as psychosocial suffering. Healthy lifestyle habits to achieve better health and to lose weight should be encouraged, taking patient resources into account. Patients also need help in handling weight stigmatisation, and both healthcare professionals and society must engage with this.
Obesity is a chronic disease, and patients need ongoing support. Therefore, care for patients with obesity in primary health care must be further developed. Patient resources and strengths have to be acknowledged and encouraged in the process of helping them adopt healthy lifestyle habits. The findings of this study can contribute to ending weight stigmatisation by increasing the knowledge of living with obesity.
描述肥胖患者在开始群体生活方式干预之前的生活体验。
肥胖是一种影响身心健康的慢性疾病。需要更多地了解肥胖患者的生活体验。
一项具有描述性设计的定性研究。
2019 年 10 月至 11 月期间，对 17 名肥胖患者（体重指数 32-49）进行了半结构化的个人访谈。采用定性内容分析法对访谈进行分析。遵循 COREQ 清单。
分析结果得出一个主要主题：为更美好的明天而奋斗，以及三个子主题：痛苦、适应力和改变的支持需求。对大多数参与者来说，肥胖是一种终身的斗争，涉及到不同层面的痛苦。尽管如此，参与者并没有放弃，而是希望过上更好的生活。他们表现出一定的适应力和动力，以及实现生活方式改变的能力。然而，他们明显需要支持来帮助他们实现这一目标。
肥胖患者的生活复杂，存在医疗并发症和心理社会痛苦的风险。应该鼓励健康的生活方式习惯，以改善健康状况和减轻体重，同时考虑到患者的资源。患者还需要帮助处理体重歧视问题，医护人员和社会都必须参与进来。
肥胖是一种慢性疾病，患者需要持续的支持。因此，基层医疗保健中对肥胖患者的护理必须进一步发展。在帮助患者养成健康的生活习惯的过程中，必须承认和鼓励患者的资源和优势。本研究的结果可以通过增加对肥胖生活体验的了解，有助于减少体重歧视。
