天津护理 ›› 2022, Vol. 30 ›› Issue (5): 505-512.DOI: 10.3969/j.issn.1006-9143.2022.05.001

• 论著 •    下一篇

孕妇身体活动影响因素的系统评价

向芝萱 赵倩 杨晓 韩蓉蓉 高玲玲   

  1. (中山大学护理学院,广东 广州 510080)
  • 出版日期:2022-10-28 发布日期:2022-10-25
  • 基金资助:
    国家自然科学基金资助项目(72174216)

Influencing factors of physical activity among pregnant women: a systematic review

XIANG Zhixian, ZHAO Qian, YANG Xiao, HAN Rongrong, GAO Lingling   

  1. (School of Nursing, SUN YAT-SEN University, Guangzhou Guangdong 510080)
  • Online:2022-10-28 Published:2022-10-25

摘要: 目的:系统描述和分析孕妇身体活动的影响因素。方法:计算机辅助手工检索PubMed、Web of Science、Embase、中国知网、万方、维普、中国生物医学文献数据库中有关孕妇身体活动影响因素的研究。根据文献纳排标准对检索到的文献进行独立筛选、质量评价和资料提取,以社会生态学模型为指导,采用内容分析法归纳总结研究结果。结果:共纳入44项研究,影响孕妇身体活动的因素可分为个体因素、家庭因素和社会因素。大部分研究集中在个体层面,家庭和社会层面的研究较少。结论:孕前身体活动情况、孕前体质量指数(BMI)、自我效能感、家庭结构和建成环境等对孕期身体活动的影响得到了一致的结论。卫生保健人员应针对可干预的影响因素制定多维度、精准的身体活动促进方案。

关键词: 妊娠, 孕妇, 身体活动, 影响因素, 系统评价

Abstract: Objective: To systematically describe and analyze the influencing factors of physical activity among pregnant women. Methods: Computer-assisted manual retrieval of researches on the factors influencing physical activity of pregnant women in 7 Chinese and English databases(PubMed, Web of Science, Embase, CNKI, Wanfang, Vip, China Biomedical Literature Database). Literature screening, data extraction and quality evaluation were carried out according to the inclusion and exclusion criteria. The study results were summarized using content analysis guided by the social ecological model. Results: A total of 44 studies were included in this review. The factors affecting physical activity of pregnant women could be classified as individual, family and social factors. There are fewer studies focused on the family and social factors compared with individual factors. Conclusion: Consistent conclusions were reached on the effects of pre-pregnancy physical activity status, pre-pregnancy BMI, self-efficacy, family structure, and built environment on physical activity. Health care providers should develop multidimensional and precise physical activity promotion programs for pregnant women concerning intervenable influencing factors.

Key words: Pregnancy, Pregnant women, Physical activity, Influencing factor, System evaluation