超重/肥胖乳腺癌幸存者生活方式和体重状况的决定因素以及对减肥干预措施发展的看法:一项来自希腊卫生专业人员的定性研究。

Determinants of lifestyle and body weight status among breast cancer survivors with overweight/obesity and perspectives towards the development of weight loss interventions: a qualitative study with health professionals from Greece.

机构信息

Laboratory of Clinical Nutrition and Dietetics, Department of Nutrition and Dietetics, School of Physical Education, Sport Science and Dietetics, University of Thessaly, Trikala, Greece.

Department of Nutritional Sciences and Dietetics, International Hellenic University, Sindos, Greece.

出版信息

J Nutr Sci. 2024 Jan 23;13:e4. doi: 10.1017/jns.2023.117. eCollection 2024.

Abstract

The current study assessed the views and attitudes of health professionals (HPs) regarding factors associated with energy balance-related health behaviours and weight management in breast cancer survivors (BCS) with overweight and obesity. Semi-structured online interviews were conducted with 21 HPs (oncologists, dietitians- nutritionists, physical education instructors, mental health professionals, and nurses) from Attica and Thessaly. Thematic analysis was used to analyse and present the data. Four main themes arose from the data: "The patients' mental health wellbeing", "Survivors' interest in diet and exercise", "Interdisciplinary collaboration in patient's care", and "Maintaining normality". HPs agreed that weight loss in BCS with overweight and obesity is important, but negative mental health wellbeing is a main barrier to behaviour change. For many BCS their cancer diagnosis is a "teachable" moment for weight management, especially for women of younger age, who are more keen to discuss weight management issues. Essential characteristics that determine/facilitate behavioural change include education, commitment for regular communication, personalised intervention, and interdisciplinary collaboration. According to HPs, future weight loss interventions should take into account BCS's mental health wellbeing and level of motivation and should provide regular support and education.

摘要

本研究评估了健康专业人员(HPs)对与超重和肥胖的乳腺癌幸存者(BCS)的能量平衡相关健康行为和体重管理相关因素的看法和态度。对来自阿提卡和塞萨利的 21 名 HPs(肿瘤学家、营养师-营养学家、体育指导员、心理健康专业人员和护士)进行了半结构化的在线访谈。使用主题分析对数据进行分析和呈现。数据中出现了四个主要主题:“患者的心理健康”、“幸存者对饮食和运动的兴趣”、“患者护理中的跨学科合作”和“保持常态”。HPs 一致认为,超重和肥胖的 BCS 减肥很重要,但负面的心理健康是行为改变的主要障碍。对许多 BCS 来说,他们的癌症诊断是进行体重管理的“可教时刻”,尤其是年龄较小的女性,她们更愿意讨论体重管理问题。决定/促进行为改变的基本特征包括教育、定期沟通的承诺、个性化干预和跨学科合作。根据 HPs 的说法,未来的减肥干预措施应考虑 BCS 的心理健康和动机水平,并应提供定期的支持和教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367c/10808873/e7048b27a7e7/S2048679023001179_fig1.jpg

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