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妊娠导致超重或肥胖的初产妇体重管理挑战:一项定性研究。

Weight Management Challenges in Nulliparous Women Being Overweight or Obese Due to Pregnancy: A Qualitative Study.

机构信息

Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Int J Community Based Nurs Midwifery. 2023 Jul;11(3):190-200. doi: 10.30476/IJCBNM.2023.97714.2202.

Abstract

BACKGROUND

Getting overweight after pregnancy is a common phenomenon and getting back to pre-pregnancy weight in the postpartum period is a major concern for mothers. This study aimed to explain the challenges in performing post-pregnancy weight-management behaviors in nulliparous women being overweight and obese due to pregnancy.

METHODS

The present qualitative study was conducted with the conventional qualitative content analysis method based on Granheim and Landman's approach from October to December in 2021. In this study, participants were 15 women who referred to comprehensive health service centers in Tehran, Iran; they were purposefully selected according to the inclusion criteria. Data were collected through individual, in-depth, and semi-structured face-to-face interviews and simultaneously analyzed using the MAXQ Data version 10 software.

RESULTS

The mean age of the participants was 25.93±3.21 years. Data analysis resulted in three main categories: 1) failure to adhere to calorie-restricted diets, 2) inability to engage in physical activity, and 3) lack of adequate social support.

CONCLUSION

Women with obesity due to pregnancy face many challenges to improve their weight-control behaviors. As such, improving healthy behaviors not only requires relevant stakeholders' commitment, but also demands women, their families and communities' intention to engage in healthy behaviors.

摘要

背景

产后超重是一种常见现象,而在产后恢复到怀孕前的体重是母亲们关心的主要问题。本研究旨在解释超重和肥胖的初产妇在产后进行体重管理行为所面临的挑战。

方法

本研究是一项基于 Granheim 和 Landman 方法的定性研究,于 2021 年 10 月至 12 月期间进行。本研究中,参与者为 15 名来自伊朗德黑兰综合健康服务中心的超重和肥胖的初产妇,她们是根据纳入标准有目的地选择的。数据收集通过个人、深入的半结构化面对面访谈进行,同时使用 MAXQ Data 版本 10 软件进行分析。

结果

参与者的平均年龄为 25.93±3.21 岁。数据分析得出三个主要类别:1)无法坚持限制热量的饮食,2)无法进行体育活动,3)缺乏足够的社会支持。

结论

由于怀孕而肥胖的妇女在改善体重控制行为方面面临许多挑战。因此,改善健康行为不仅需要相关利益攸关方的承诺,还需要妇女、她们的家庭和社区有意愿参与健康行为。

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