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一般医生实践护士和家长对儿童超重管理的观点 - - 一项定性研究
Maxime Adriana Maria van der Velden1, Hevy Hassan1, Dieuwke Schiphof1
1Department of General Practice, Erasmus MC Medical University Center Rotterdam, The Netherlands.
The European journal of general practice
|September 27, 2024
概括
一般医生对于识别和管理儿童超重和肥胖至关重要. 尽管有时间限制等障碍,全科医生,实践护士和家长都同意全科医生.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 一般的做法一般的做法
背景情况:
- 儿童超重和肥胖是一个重大的全球健康挑战.
- 一般诊所设置为儿童超重和肥胖的早期识别和管理提供了潜在的途径.
研究的目的:
- 调查荷兰全科医生 (GPs),实践护士 (PNs) 和家长关于全科医院在儿童超重和肥胖管理中的作用的观点.
- 了解利益关方关于将儿科体重管理纳入初级保健中的需求和偏好.
主要方法:
- 一项使用半结构化焦点小组访谈的定性研究.
- 参与者包括25名全科医生,7名护士和18名家长,从一般诊所和通过社交媒体/学校招募.
- 采访被录音,转录,并根据主题进行分析.
主要成果:
- 全科医生,PN和家长一致认为,全科医生应该识别,解决和转诊超重和肥胖儿童.
- 由于时间限制,对负面反应的恐惧和不清楚的转诊途径,一般医生面临着启动对话的挑战.
- 如果全科医生不判断,诚实和尊重,父母就会接受讨论;PN报告说在管理中没有作用.
结论:
- 尽管发现了障碍,但一般医生,PN和家长之间存在共识,一般医生在儿童超重和肥胖管理中发挥着至关重要的作用.
- 这些发现强调了需要支持性工具和资源,以赋予GP在这个角色中的权力.
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