Weight Loss Experiences of Obese Individuals; Qualitative Study

Year 2019, , 329 - 336, 23.10.2019

Pınar Döner Güner , Rabia Kahveci , Hilal Aksoy , Adem Özkara

https://doi.org/10.18521/ktd.565911

Abstract

Objectives: Obesity is a leading preventable cause of
death worldwide. Being overweight or obese has a serious impact on health.
Treatment of obesity needs a comprehensive approach. Biopsychosocial approach
of family physicians is invaluable in obesity management. This study was
performed in order to find answers to “why”, “how’’ and “when’’ our patients
became obese.

Methods:We
conducted in-depth, semi-structured, face to face interviews with 30
participants (BMI>30). Interviews were audio-recorded and transcribed, and
qualitatively analysed using a thematic framework method.

Results:26
women and 4 men accepted to join our study. Analysis of indepth interviews
emerged 5 major themes which were the different perception of obesity among
individuals; awareness of obesity; loss of selfconfidence; belief in treatment
and effects on quality of life.

Conclusion:Each
patient has a different need and different expectation while controlling
weight. As a part of biopsychosocial approach the family physician needs to
understand the factors that bring the patient to current condition and see
which approach would be the best for individual patient for weight management.

Keywords

Obesity, Qualitative Research, Weight Loss

Obez Bireylerin Kilo Verme Deneyimleri; Kalitatif Çalışma

Abstract

Amaç: Obezite dünya genelindeki önlenebilir ölüm nedenlerinin başında gelmektedir. Aşırı kilolu veya obez olmanın sağlık üzerinde ciddi bir yan etkisi vardır. Obezite tedavisi kapsamlı bir yaklaşım gerektirir. Özellikle aile hekimlerinin biyopsikososyal yaklaşım göstermeleri kilo verme sürecinde çok önemlidir. Bu çalışmada, obez bireylerin kilo verme girişimleri sırasındaki deneyimlerini değerlendirmeyi ve başarı ve başarısızlığı etkileyen faktörleri bulmayı amaçladık.

Gereç ve Yöntem: Beden kitle indeksi 30 üzeri olan hastalarla derinlemesine, yarı yapılandırılmış, yüz yüze görüşmeler yaptık. Görüşmeler ses kaydına alındı ve yazıya aktarıldı. Daha sonra tematik çerçeve yöntemi ile kalitatif analizi yapıldı.

Bulgular: 26 kadın ve 4 erkek çalışmaya katılmayı kabul etti. Derinlemesine röportajlar sonucu 5 ana tema ortaya çıktı: obezitenin bireyler arasında farklı algılanışı; obezitenin farkındalığı; öz güven kaybı; tedaviye inanç; hayat kalitesi üzerine etkileri.

Sonuç: Her hastanın kilo kontrolüne farklı bir ihtiyacı ve bundan farklı bir beklentisi vardır. Biyopsikososyal yaklaşımın bir parçası olarak aile hekimi hastayı o anki duruma getiren etkenleri anlamalı ve hangi yaklaşımın hastanın kilo kontrolünde daha iyi olacağına karar vermelidir.

Keywords

Obezite, Kalitatif Çalışma, Kilo verme

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