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Effect of Lifestyle Intervention Program for Overweight and Obesity Pregnant Women

Journal of Korean Academy of Nursing 2020³â 50±Ç 3È£ p.459 ~ 473
KMID : 0806120200500030459
ÃÖÇý°æ ( Choi Hye-Kyung ) - Chonbuk National University College of Nursing

±èÇö¿Á ( Kim Hyeon-Ok ) - Chonbuk National University College of Nursing

Abstract

Purpose: This study was conducted to identify the effects of a lifestyle intervention program on weight gain, dietary habits, fatigue and pregnancy stress, blood pressure, and neonatal birth weight, using Cox¡¯s interaction model of client health behavior for overweight and obese women.

Methods: This was a quasi-experimental research with a non-equivalent control group pre-post test design. A total of 52 patients who met the selection criteria, including 25 in the experimental group and 27 in the control group, were the subjects of the study; they comprised overweight and obese pregnant women who were receiving prenatal care at A and B women¡¯s hospital in J province. The lifestyle intervention program ran for 12 weeks in total and consisted of interactions involving affective support, health information, and professional/technical competencies. The data collection period was from February 1, 2017 to August 31, 2017.

Results: This study showed differences in the appropriate weight gain rate (c2=6.17, p =.013), suppression of an increase in fatigue (t=-2.32, p =.012), and an increase in pregnancy stress (t=-1.87, p =.034). Yet, no differences in physical activity, dietary habits change, blood pressure, and neonatal birth weight (p >.05) were found.

Conclusion: The study findings indicate that this program could be an effective intervention for the control of appropriate weight gain, fatigue, and pregnancy stress. Therefore, a lifestyle intervention program based on Cox¡¯s interaction model of client health behavior could be an efficient strategy for a positive health outcome of overweight and obesity pregnant women.
KeyWords
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Lifestyle, Overweight, Obesity, Pregnancy, Weight Gain
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