Parents' views and experiences of childhood obesity management in primary care: a qualitative study
Parents' views and experiences of childhood obesity management in primary care: a qualitative study
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DOI：
10.1093/fampra/cmr111
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发表时间：
2012-08-01
期刊：
影响因子：
2.2
通讯作者：
Shield, Julian P. H.
中科院分区：
文献类型：
--
作者：
Turner, Katrina M.;Salisbury, Chris;Shield, Julian P. H.
背景资料。初级保健一直被视为儿童肥胖管理的合适环境。在这种临床环境下，父母对肥胖管理的看法和经验知之甚少。这些观点和经验需要探讨，因为它们可能会影响治疗的成功率。探讨家长对初级保健作为儿童肥胖治疗环境的看法和经验。对15名5-10岁肥胖儿童的父母进行了深入访谈，探讨他们对儿童肥胖管理的看法和经验。通过以医院为基础的儿童肥胖诊所联系父母，一般做法和精神，锻炼，营养...动手啊！(改善)总部设在英国布里斯托尔的组织。访谈被录音，逐字转录，并进行主题分析。父母认为初级保健是治疗儿童肥胖症的合适环境，但由于担心因孩子的体重而受到指责，以及对孩子的心理健康的担忧，他们不愿咨询。他们还质疑从业者是否拥有有效管理儿童肥胖症的知识、时间和资源。家长们发现咨询医生的帮助程度各不相同，他们的说法表明，全科医生和学校护士提供不同类型的支持。需要让父母放心，从业者将以一种非评判的敏感方式解决他们孩子的体重问题，并能够有效地治疗儿童肥胖症。多学科团队的方法可能会使儿童受益，因为不同的从业者提供的护理类型可能不同。
Background. Primary care has been viewed as an appropriate setting for childhood obesity management. Little is known about parents' views and experiences of obesity management within this clinical setting. These views and experiences need to be explored, as they could affect treatment success.Objective. To explore parents' views and experiences of primary care as a treatment setting for childhood obesity.Methods. In-depth interviews were held with 15 parents of obese children aged 5-10 years, to explore their views and experiences of primary care childhood obesity management. Parents were contacted via a hospital-based childhood obesity clinic, general practices and Mind, Exercise, Nutrition ... Do it! (MEND) groups based in Bristol, England. The interviews were audio-taped transcribed verbatim and analysed thematically.Results. Parents viewed primary care as an appropriate setting in which to treat childhood obesity but were reluctant to consult due to a fear of being blamed for their child's weight and a concern about their child's mental well-being. They also questioned whether practitioners had the knowledge, time and resources to effectively manage childhood obesity. Parents varied in the extent to which they had found consulting a practitioner helpful, and their accounts suggested that GPs and school nurses offer different types of support.Conclusions. Parents need to be reassured that practitioners will address their child's weight in a non-judgemental sensitive manner and are able to treat childhood obesity effectively. A multidisciplinary team approach might benefit a child, as different practitioners may vary in the type of care they provide.