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在三级体重控制之前和之后,对患有三级肥胖的成年人进行社区护理的需求:一项探索性研究
Jillian Termaat1, Milan K Piya1,2,3, Kate A McBride1,3
1School of Medicine Western Sydney University Penrith New South Wales Australia.
Obesity science & practice
|January 12, 2024
概括
社区计划对于严重肥胖的人来说至关重要,在等待专业护理时提供支持,并帮助长期控制体重. 这些服务必须解决社会隔离问题,并与现有的医疗保健模式相结合.
科学领域:
- 肥胖医学 肥胖医学
- 公共卫生 公共卫生
- 定性研究是指质量研究.
背景情况:
- 3类肥胖 (BMI ≥40 kg/m2) 需要专门的护理,通常由三级体重管理计划 (WMPs) 提供.
- 由于WMP的可用性有限,导致延长等待列表和持续患者支持的挑战.
- 现有的社区肥胖管理通常对严重肥胖的人来说是不够的.
研究的目的:
- 探索严重肥胖患者对有效的社区护理的具体需求.
- 识别当前社区支持系统中对于管理严重肥胖症的个人存在的差距.
主要方法:
- 在澳大利亚悉尼的一所高等WMP中进行了一项定性研究.
- 与患者和临床医生进行了半结构面试和焦点小组.
- 对11名患者和7名临床医生的转录数据进行了主题分析.
主要成果:
- 主要主题包括在体重管理中需要问责制和动机.
- 在严重肥胖的社区肥胖管理中发现了局限性.
- 患者和临床医生的观点对结构化社区计划的WMP过渡.
- 心理健康,耻辱和社会隔离对参与的重大影响.
结论:
- 基于社区的计划对于支持等待第三级WMP接入的患者和在出院后保持健康收益至关重要.
- 这些计划应积极解决社会隔离问题,并与三级代谢和初级医疗保健相结合.
- 发展结构化的社区支持对于全面的严重肥胖管理至关重要.
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