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治疗儿童肥胖:建立和评估综合护理的基于证据的模型
Zina C McSweeney1,2, Richard C Antonelli2,3, Cara B Ebbeling1,2
1New Balance Foundation Obesity Prevention Center, Division of Endocrinology, Boston Children's Hospital, Boston, MA 02115, USA.
Journal of the Endocrine Society
|July 2, 2025
概括
综合护理模式通过将儿童和家庭作为中心来改善儿童肥胖管理. 关键要素包括以团队为基础的护理,社区联系和自我管理支持,以获得更好的结果.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童肥胖是一种复杂的慢性疾病,需要密集,持续的管理.
- 综合护理模式提供了一种结构化的方法,为儿童超重和肥胖提供服务.
- 现有的模型,如慢性护理模型 (CCM) 和以患者/家庭为中心的医疗家 (PFCMH),为护理提供了框架.
研究的目的:
- 审查和综合儿童肥胖症的基础综合护理模型.
- 确定有效的儿童肥胖管理的关键要素和实施考虑因素.
- 提出一种以儿童和家庭为中心的全新综合护理模式.
主要方法:
- 从2010年1月1日到2024年12月31日的PubMed文献的叙述性小审查.
- 在护理模式,肥胖和儿科人口中使用广义术语进行搜索.
- 从基础模型 (CCM,PFCMH) 中综合发现,为新模型提供信息.
主要成果:
- 确定了两个关键模型:慢性护理模型 (CCM) 和以患者/家庭为中心的医疗家庭 (PFCMH).
- 综合护理的关键要素包括自我管理支持,以团队为基础的护理,儿童/家庭参与,社区联系和护理协调.
- 实施考虑包括可访问性,虚拟护理,跨专业教育和健康信息技术.
结论:
- 设计了一种以儿童/家庭为中心的综合护理模式,在医疗保健,社区和家庭部门提供协调的综合服务.
- 为了实施儿童肥胖综合护理模式,需要进一步的研究,适应,扩展和资金.
- 结果措施对于推动质量改进和确保这些模型的可持续性至关重要.
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