Excess weight and gestational self-care in primary care: a qualitative analysis according to Orem

Authors

DOI:

https://doi.org/10.12957/reuerj.2026.94005

Keywords:

Nursing, Primary Health Care, Pregnant People, Overweight, Self Care

Abstract

Objective: to analyze the views, barriers, and facilitators related to self-care in overweight pregnant women, based on Orem's Theory, in Primary Health Care. Method: qualitative, descriptive, and exploratory study, conducted with 17 overweight pregnant women in a health unit in northern Brazil, between November 2023 and January 2024. Data collected through semi-structured interviews and subjected to thematic content analysis, guided by Orem's theoretical framework. The research protocol was approved by the Ethics Committee. Results: Three categories emerged: " Universal self-care deficits: dietary routine during pregnancy", "Universal self-care deficits: physical activity and leisure during pregna", and " Developmental self-care deficits: the implications of gestational obesity". Final considerations: The perceptions reveal barriers and potential facilitators of self-care, reinforcing the need for strategies in primary care that support overweight pregnant women.

Author Biographies

Kelly Raquel Przybsz, Secretaria Municipal de Saúde de Porto Velho

Nurse. Master’s Degree in Nursing Care Management. Nurse at the Porto Velho Municipal Health Department. Porto Velho, RO, Brazil.

Luciara Fabiane Sebold, Universidade Federal de Santa Catarina

Nurse. PhD in Nursing. Professor at Universidade Federal de Santa Catarina. Florianópolis, SC, Brazil.

Manuela Ferreira, Escola Superior de Saúde de Viseu

Nurse. PhD in Nursing. Escola Superior de Saúde de Viseu, Instituto Politécnico de Viseu, Viseu, Distrito de Viseu, Portugal.

Laís Antunes Wilhelm, Universidade Federal de Santa Catarina

Nurse. PhD in Nursing. Professor in the Department of Nursing and the Graduate Program in Nursing Care Management at Universidade Federal de Santa Catarina. Florianópolis, SC, Brazil.

Jane Cristina Anders, Universidade Federal de Santa Catarina

Nurse. PhD in Nursing. Professor at Universidade Federal de Santa Catarina. Florianópolis, SC, Brazil.

Ellen de Moraes Guedes, Secretaria de Estado da Saúde de Rondônia

Nurse. Specialist in Public Health Nursing with an Emphasis on Health Surveillance. Resident in the Multidisciplinary Residency Program in Obstetric Nursing at the Rondônia State Health Department. Porto Velho, RO, Brazil.

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Published

2026-03-30

How to Cite

1.
Przybsz KR, Sebold LF, Ferreira M, Wilhelm LA, Anders JC, Guedes E de M. Excess weight and gestational self-care in primary care: a qualitative analysis according to Orem. Rev. enferm. UERJ [Internet]. 2026 Mar. 30 [cited 2026 Aug. 13];34(1):e94005. Available from: https://www.e-publicacoes.uerj.br/enfermagemuerj/article/view/94005

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Research Articles

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