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首页> 外文期刊>BMC Psychiatry >Long-term psychiatric inpatients’ perspectives on weight gain, body satisfaction, diet and physical activity: a mixed methods study
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Long-term psychiatric inpatients’ perspectives on weight gain, body satisfaction, diet and physical activity: a mixed methods study

机译：长期精神科住院患者对体重增加，身体满意度，饮食和体育锻炼的看法：混合方法研究

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Obesity is a significant problem for people with serious mental illness. We aimed to consider body size from the perspective of long-stay psychiatric inpatients, focussing on: weight gain and its causes and impacts; diet and physical activity; and the perceived ability to make meaningful change in these domains. A mixed methods study with 51 long-term psychiatric forensic and rehabilitation inpatients using semi-structured interviews combined with biometric and demographic data. 94% of participants were overweight or obese (mean BMI 35.3, SD 8.1). They were concerned about their weight, with 75% of them attempting to lose weight. Qualitative responses indicated low personal effectiveness and self-stigmatisation. Participants viewed their weight gain as something ‘done to them’ through medication, hospitalisation and leave restrictions. A prevailing theme was that institutional constraints made it difficult to live a healthy life (just the way the system is). Many had an external locus of control, viewing weight loss as desirable but unachievable, inhibited by environmental factors and requiring a quantum of motivation they found hard to muster. Despite this, participants were thoughtful and interested, had sound ideas for weight loss, and wished to be engaged in a shared endeavour to achieve better health outcomes. Consulting people as experts on their experiences, preferences, and goals may help develop new solutions, remove unidentified barriers, and improve motivation. The importance of an individualised, multifactorial approach in weight loss programmes for this group was clear. Patient-led ideas and co-design should be key principles in programme and environmental design.
机译：对于患有严重精神疾病的人来说，肥胖是一个重大问题。我们旨在从长期住院的精神病患者的角度考虑身体大小，重点是：体重增加及其原因和影响;体重增加。饮食和身体活动;以及在这些领域做出有意义的改变的能力。使用半结构式访谈结合生物统计和人口统计数据对51名长期精神科法医和康复住院患者进行的混合方法研究。 94％的参与者超重或肥胖（平均BMI 35.3，SD 8.1）。他们担心自己的体重，其中75％试图减肥。定性反应表明个人效率低下和自我污名化。参与者将体重增加视为通过药物治疗，住院和离开限制对他们“做的事情”。一个普遍的主题是，制度上的限制使人们难以过上健康的生活（就像系统的方式一样）。许多人有一个外部控制源，认为减肥是可取的，但无法实现，受到环境因素的抑制，并需要一定量的动力，他们发现很难。尽管如此，参与者还是有思想和兴趣的，对减肥有好的想法，并希望共同努力以取得更好的健康结果。向人们咨询专家的经验，偏好和目标可能有助于开发新的解决方案，消除未知的障碍并提高动力。对于该人群，在减肥计划中采用个性化，多因素的方法非常重要。以患者为主导的想法和共同设计应成为计划和环境设计的关键原则。

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