肥胖患者在医疗机构体验的体重耻辱:定性证据综合分析
Leona Ryan1, Rory Coyne1, Caroline Heary1
1School of Psychology, University of Galway, Galway, Ireland.
概括
在医疗保健机构中,体重耻辱会对患者的护理和获得服务产生负面影响. 患有肥胖症的患者经历了口头和非口头的耻辱,导致系统性障碍和对其健康需求缺乏控制.
科学领域:
- 医学社会学 医学社会学
- 公共卫生 公共卫生
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 体重耻辱研究往往忽视了患者的经历.
- 肥胖是一个重要的公共卫生问题,具有复杂的社会决定因素.
- 医疗保健机构是重量耻辱可能表现出来的关键环境.
研究的目的:
- 系统地审查和综合患者在医疗保健中的体重耻辱的观点.
- 了解体重耻辱对肥胖患者的护理提供和医疗保健获取的影响.
- 确定以患者为导向的策略,以减轻临床环境中的体重耻辱.
主要方法:
- 32项研究的系统综述和主题综合.
- 对1340项初步研究进行查.
- 分析的重点是患者在医疗保健中的体重耻辱的经验.
主要成果:
- 出现了三个关键主题:耻辱的传播,对护理提供的影响以及系统性障碍.
- 体重耻辱影响患者与医疗服务提供者的互动和护理提供.
- 系统性问题和非协作方法为肥胖患者平等获得医疗保健提供障碍.
结论:
- 在医疗保健机构中,体重耻辱造成了公平护理和患者自主权的重大障碍.
- 解决体重耻辱需要转向合作的患者-提供者关系和系统性变化.
- 以患者为中心的方法对于开发有效的干预措施来减少医疗保健中的体重耻辱至关重要.
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