Pınar DÖNER GÜNER, Rabia KAHVECİ, HİLAL AKSOY, ADEM ÖZKARA

Obez Bireylerin Kilo Verme Deneyimleri; Kalitatif Çalışma

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.

Anahtar Kelimeler:

Obezite, Kalitatif Çalışma, Kilo verme

Weight Loss Experiences of Obese Individuals; Qualitative Study

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,

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ISSN: 1309-3878
Yayın Aralığı: 3
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez