对有效的肥胖护理的看法,行为和潜在障碍. 来自ACTION-DK研究的结果
Tina Vilsbøll1,2, Sigrid Bjerge Gribsholt3,4, Nils Bruun Jørgensen5
1Steno Diabetes Center Copenhagen, University of Copenhagen, Gentofte, Denmark.
Diabetes, obesity & metabolism
|June 5, 2023
概括
在医疗保健中,体重偏差是很常见的. 这项研究发现,肥胖患者和医疗保健专业人员对肥胖护理的看法存在显著差异,强调需要更好地协调和跟进.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 体重偏见,耻辱和歧视在医疗保健和社会中普遍存在.
- 这些问题可能导致对肥胖患者 (PwO) 的偏见性治疗.
- 了解PwO和医疗保健专业人员 (HCP) 之间的看法和态度对于改善护理至关重要.
研究的目的:
- 确定在丹麦PwO和HCP之间的看法,态度和潜在障碍.
- 探索理解和接近肥胖管理的差异.
主要方法:
- 在丹麦进行了一项横截面的描述性研究 (ACTION-DK调查).
- 包括879名PwO (BMI≥30.0 kg/m2) 和来自初级和中级保健的100名医疗保健工作人员.
- 通过自我报告的身高和体重收集的数据.
主要成果:
- 关于肥胖作为一种慢性疾病 (PwO: 49% vs. HCP: 84%) 和减肥的责任 (PwO: 81% vs. HCP: 17%) 发现了显著的差异.
- 虽然46%的PwO受访者有减肥的动机,但只有28%的医疗保健人员感知到了这一点.
- 普华永道 (PwO) 在肥胖护理咨询中经历了长时间的延误 (平均7年),后续情况不佳 (24%).
- 体重减轻药物的有效性被46%的医疗保健专家认可,但很少讨论 (10%).
结论:
- 改善丹麦的肥胖护理需要更好的后续策略.
- 在PwO和HCP之间对肥胖的看法和态度的调整是至关重要的.
- 解决体重偏差和加强沟通是有效肥胖管理的关键.
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