阻塞性睡眠呼吸暂停低通气综合征肥胖患者体质量管理障碍的质性研究

摘要

目的 了解阻塞性睡眠呼吸暂停低通气综合征(OSAHS)伴肥胖患者体质量管理失败的原因,为提高患者体质量管理的有效性提供参考.方法 对17例确诊为OSAHS,需进行体质量管理,但半年后体质量未减轻患者进行深度访谈,采用内容分析法对访谈资料进行整理和分析.结果 提练出6个主题:不正确的观念,不了解肥胖与OSAHS的关系,行动力不足,未掌握体质量控制的正确方法,不能继续坚持,无法辨别信息的正确性.结论 对OSAHS伴肥胖患者,医务人员应采取多种形式加强针对性的健康教育及督促,以提高患者体质量管理的有效性.%Objective To explore the barriers to weight control in obese patients with obstructive sleep apnoea hypopnoea syndrome (OSAHS),and to provide evidence for effective weight control measures for these patients.Methods In-depth interview was conducted in 17 obese patients with OSAHS,who had been told to control their weight and had not yet shredded a pound within 6 months.Then content analysis were used to analyze the data.Results Six themes were extracted:incorrect idea,incomprehension of the relationship between obesity and OSAHS,poor execution,incorrect methods of weight control,failure to persist,failure to discern the correctness of information.Conclusion During the follow-up,medical staffs should give obese patients with OSAHS targeted education,guidance and supervision,so as to improve the effectiveness of weight management measures.