Motivation for lifestyle changes to improve health in people with impaired glucose tolerance
Motivation for lifestyle changes to improve health in people with impaired glucose tolerance
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DOI：
10.1111/j.1471-6712.2010.00853.x
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发表时间：
2011-09-01
影响因子：
1.9
通讯作者：
Svebak, Sven
中科院分区：
文献类型：
--
作者：
Hansen, Elisabeth;Landstad, Bodil J.;Svebak, Sven
目的：为了确定因素，可能有动机意义的生活方式的改变，以促进减少糖耐量减低（IGT），因此，有2型diabetes.Methods的风险：18人生活在挪威中部的一个城市参加了这项研究。一项大规模的公共卫生筛查研究将他们定义为IGT患者。研究对象接受了一个半结构化的访谈，访谈内容主要涉及日常生活的四个方面：（1）结构和节奏、（2）身体健康、（3）身体活动和（4）社会关系。结果表明，四个领域的动机因素，出现了显着的生活方式的改变。参与者认为他们的身体健康非常重要，并有强烈的动机通过改善日常结构和节奏，减少疾病风险，活动水平和社会关系来预防疾病发展。然而，研究表明，持久的生活方式的改变需要时间，医疗保健的支持必须适应个人在他们的社会setting.Conclusion：IGT的人似乎受益于生活方式的改变沿着四个方面的动机意义：结构和节奏，疾病的关注，活动水平，社会关系。这意味着，与传统的医疗保健相比，需要更仔细地为个人沿着这四个维度量身定制。
Aim: To identify factors that could have motivational significance for lifestyle change to facilitate the reduction of Impaired Glucose Tolerance (IGT) and, consequently, the risk of having type 2 diabetes.Methods: Eighteen people living in a municipality in central Norway participated in the study. A large-scale public health screening study had defined them as people with IGT. The participants took part in a semi-structured interview that focused on four aspects of everyday lifestyle: (1) structure and rhythm, (2) physical health, (3) physical activity and (4) social relations.Results: The interviews showed that the participants in the study changed their priorities regarding daily living. Results indicated four domains of motivational factors that appeared as significant for lifestyle changes. The participants attributed great significance to their physical health and were strongly motivated to prevent disease development by improvement of everyday structure and rhythm, reduction of sickness risk, activity level and social relation. Research indicates, however, that lasting lifestyle changes take time and that health care support must be adapted to the individual in light of their social setting.Conclusion: Persons with IGT appear to benefit from lifestyle changes along four dimensions of motivational significance: Structure and rhythm, Sickness concerns, Activity levels, Social relations. This means that attention needs to be more carefully tailored the individual along these four dimensions than has been the case in traditional health care.