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首页> 外文期刊>Journal of Nursing Education and Practice >Talking about weight in pregnancy: An exploration of practitioners' and women's perceptions
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Talking about weight in pregnancy: An exploration of practitioners' and women's perceptions

机译：谈论怀孕时的体重：从业者和女性的观念探索

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Prevalence of maternal obesity is increasing, with health risks for mother and infant. Effective health promotion depends on sufficient knowledge and appropriate communication skills. We aimed to explore women's, midwives' and health visitors' perceptions of current practice in helping women manage their weight and supporting healthy behaviour change during pregnancy, and their perceived training needs. A modified grounded theory methodology was adopted, based upon critical realist assumptions. Following consultation events with fifty six practitioners to inform data collection tools, twenty (different) practitioners and nine women participated in focus groups. Comparative analysis generated four themes: A core theme, “Discouraging discourses”, described health professionals’ negative beliefs and reactive approach to communicating about weight. “Staff resources” identified limitations in and requirements for practitioner knowledge, skills and tools for effective communication. “Contextual influences” were social factors, which hindered practitioners’ efforts to achieve healthy behaviour change. “Communicating as a Team” identified the importance of and challenges to a team approach. Findings have implications for weight management in pregnancy, practitioner resources, teamwork, and national health promotion campaigns.
机译：孕产妇肥胖的患病率正在增加，对母亲和婴儿都有健康风险。有效的健康促进取决于足够的知识和适当的沟通技巧。我们旨在探讨妇女，助产士和健康访问者对当前实践的看法，这些看法有助于妇女控制体重，支持怀孕期间健康的行为改变以及他们的培训需求。基于批判的现实主义假设，采用了修改后的扎根理论方法。在与五十六名从业人员进行磋商以告知数据收集工具之后，二十名（不同的）从业人员和九名妇女参加了焦点小组。比较分析产生了四个主题：一个核心主题“令人陶醉的话语”，描述了卫生专业人员的消极信念和反应体重的反应方法。 “人员资源”确定了从业人员知识，技能和有效交流工具的局限性和要求。 “情境影响”是社会因素，阻碍了从业人员努力实现健康的行为改变。 “团队沟通”确定了团队方法的重要性和挑战。研究结果对孕妇的体重管理，从业人员资源，团队合作和全国健康促进运动具有重要意义。

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