女性对体重图形的看法以及她们对体重咨询的偏好
Katherine B Kaak1,2, Candice P Holliday1, Madhuri S Mulekar3
1Department of Obstetrics and Gynecology, University of South Alabama College of Medicine, Mobile, Alabama, USA.
Clinical obesity
|December 19, 2023
概括
女人经常误解自己的体重指数 (BMI). 大多数人更喜欢女性提供者,在讨论体重管理时采取温柔,不评判的方法,强调需要量身定制的患者沟通策略.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 医疗保健提供者往往缺乏明确的,数据驱动的策略来讨论患者的体重.
- 了解患者对体重指数 (BMI) 的看法以及对体重咨询的偏好,对于有效的沟通至关重要.
- 之前的研究还没有充分探讨患者对提供者特征的偏好,以及为体重讨论提出问题.
研究的目的:
- 为了评估女性对身体质量指数 (BMI) 的自我认知.
- 确定女性对体重咨询的偏好,包括提供者的特点和发起问题的类型.
- 确定潜在的沟通策略,可以促进患者和提供者之间更富有成效的与体重有关的讨论.
主要方法:
- 在第三级护理产科和妇科诊所对756名女性 (年龄≥19岁) 进行了自愿的匿名调查.
- 测量了参与者的身高和体重,他们选择了代表他们感知到的身体尺寸和理想体重状态的图形.
- 调查问题涉及对提供者特征的偏好,以及权重讨论中最/最不喜欢的启动问题.
主要成果:
- 超过一半的女性 (52%) 准确地用图形识别了他们的BMI类别;然而,38%低估了他们的BMI,10%高估了他们的BMI.
- 大多数女性 (58%) 喜欢女性提供者,而提供者的身体形状,种族/种族和年龄并不是重要的因素.
- 最喜欢的启动问题集中在健康体重的共同挑战上 (33%),而最不喜欢的是关于感知体重适当性的直接问题 (31%).
结论:
- 女性对BMI的自我认知可能是不准确的,需要提供者进行敏感的沟通.
- 患者的偏好倾向于女性提供者和合作,非对抗的方法来讨论体重.
- 量身定制的沟通策略,特别是对权重讨论的初始方法,可以显著提高患者参与度和提供者的有效性.
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