基于可穿戴设备的运动减肥项目研究对象依从性影响因素定性研究  

A qualitative study on influencing factors for compliance of participants in wearable device-based weight loss exercise program

作　　者：段玮倩 谭玲丽 胡玉坤 陈梦雪 白瑞雪 梅英[2] 齐晓娅[2] 张勇[1,2] Duan Weiqian;Tan Lingli;Hu Yukun;Chen Mengxue;Bai Ruixue;Mei Ying;Qi Xiaoya;Zhang Yong(College of Public Health,Chongqing Medical University,Chongqing 400016,China;Health Center,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学公共卫生学院,重庆400016 [2]重庆医科大学附属第二医院健康医学中心,重庆400010

出　　处：《保健医学研究与实践》2023年第3期10-15,共6页Health Medicine Research and Practice

基　　金：中科院STS计划重点项目(KFJ-STS-ZDTP033)。

摘　　要：目的 了解影响超质量/肥胖患者在运动减肥项目中依从性的相关因素,为提升其减肥依从性提供依据。方法 选取2020年7月前重庆医科大学附属第二医院健康管理中心招募的减肥志愿者35名作为研究对象,并对减肥管理微信群聊天信息进行文本转换,依据计划行为理论(TPB)模型,运用定性内容分析法进行文本资料分析。结果 文本材料编码完成后,依据TPB模型归纳出减肥行为意向(自我效能感、减肥中断压力)、社会支持因素(医生鼓励、群体效应影响)和实施障碍感知(缺乏减肥知识、设备监测问题、工作原因、身体情况、气候因素)3个主题和9个亚主题。其中,“社会支持因素”层面的参考点数最多,该层面中“医生鼓励”和“群体效应影响”因素是影响研究对象减肥行为依从性的2个核心要素。结论超质量/肥胖患者减肥行为受多种因素影响,提示运动减肥项目管理人员应注意评估超质量/肥胖患者在减肥过程中的自我效能感,构建多方面社会支持系统,重视实施障碍感知反馈,从而提高超质量/肥胖患者减肥行为依从性,提升其减肥效果。Objective This paper aims to understand the influencing factors for the compliance of overweight/obesity patients in weight loss exercise programs to provide evidence for improving their weight loss compliance.Methods Thirty-five weight loss volunteers recruited from the Health Management Center of the Second Affiliated Hospital of Chongqing Medical University before July 2020 were selected as the study participants.Moreover,the chatting information on weight loss management in the WeChat group was converted and text data were analyzed using qualitative content analysis according to the planned behavior theory(TPB)model.Results After coding,three dimensions and nine sub-dimensions of weight loss behavior intention(self-efficacy,weight loss interruption stress),social support factors(physician encouragement,group effect impact),and implementation barriers perception(lack of weight loss knowledge,device monitoring problems,work reasons,physical conditions,climatic factors)were summarized in line with the TPB model.Among them,the″social support factor″has the highest number of reference points,and the″physician encouragement″and″group effect impact″factors at this dimension are the two core influencing factors for compliance of weight loss behaviors of study participants.Conclusion The weight loss behavior of patients with overweight/obesity indicates many influencing factors,which suggests that the management personnel of weight loss exercise program should pay attention to evaluating the self-efficacy of overweight/obesity patients in the process of weight loss,construct a multi-faceted social support system,and emphasize the implementation of barriers perception feedback,so as to raise the compliance of weight loss behavior of these patients and enhance their weight loss effect.

关 键 词：减重管理 依从性 影响因素 定性研究 

分 类 号：R723.14[医药卫生—儿科]