Providing prenatal care to pregnant women with overweight or obesity: Differences in provider communication and ratings of the patient-provider relationship by patient body weight.
Providing prenatal care to pregnant women with overweight or obesity: Differences in provider communication and ratings of the patient-provider relationship by patient body weight.
复制标题
为超重或肥胖的孕妇提供产前护理：提供者沟通和患者与提供者关系的评级因患者体重而异。
DOI：
10.1016/j.pec.2016.12.030
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发表时间：
2017
影响因子：
3.5
通讯作者：
Roter,DebraL
中科院分区：
文献类型：
--
作者：
WashingtonCole,KatieO;Gudzune,KimberlyA;Bleich,SaraN;Cheskin,LawrenceJ;Bennett,WendyL;Cooper,LisaA;Roter,DebraL
目的探讨妇女的体重与供应商的沟通在产前care.MethodsWe编码的录音产前访问之间的22个供应商和117名患者使用Roter互动分析系统。多变量，多水平泊松模型被用来检查患者孕前体重指数和供应商communication.ResultsCompared正常体重的妇女，供应商问较少的生活方式问题之间的关系（IRR 0.66，95% CI 0.44-0.99，p = 0.04），超重和肥胖女性的生活方式信息较少（IRR 0.51，95% CI 0.32-0.82，p = 0.01）。供应商使用较少的批准（IRR 0.68，95% CI 0.51-0.91，p = 0.01）和关注声明（IRR 0.68，95% CI 0.53-0.86，p = 0.002）当照顾超重女性时，（IRR 0.40，95%CI 0.19-0.84 p = 0.02）.Conclusionless lifestyle and rapport building communication for women with obesity may weaken patient-provider relationships during routine prednances.Practice implicationsInterventions to increase use of patient-centered communication - especially for women with overweight and obesity - may improve产前护理质量.
ObjectiveTo examine the association of women’s body weight with provider communication during prenatal care.MethodsWe coded audio recordings of prenatal visits between 22 providers and 117 of their patients using the Roter Interaction Analysis System. Multivariate, multilevel Poisson models were used to examine the relationship between patient pre-pregnancy body mass index and provider communication.ResultsCompared to women with normal weight, providers asked fewer lifestyle questions (IRR 0.66, 95% CI 0.44–0.99, p = 0.04) and gave less lifestyle information (IRR 0.51, 95% CI 0.32–0.82, p = 0.01) to women with overweight and obesity, respectively. Providers used fewer approval (IRR 0.68, 95% CI 0.51–0.91, p = 0.01) and concern statements (IRR 0.68, 95% CI 0.53–0.86, p = 0.002) when caring for women with overweight and fewer self-disclosure statements caring for women with obesity (IRR 0.40, 95% CI 0.19–0.84 p = 0.02).ConclusionLess lifestyle and rapport building communication for women with obesity may weaken patient-provider relationship during routine prenatal care.Practice implicationsInterventions to increase use of patient-centered communication – especially for women with overweight and obesity – may improve prenatal care quality.
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影响因子：
9.8
作者：
Phelan S
通讯作者：
Phelan S
影响因子：
6.9
作者：
Fong, Ronald L.;Bertakis, Klea D.;Franks, Peter
通讯作者：
Franks, Peter
影响因子：
5.4
作者：
STREET, RL
通讯作者：
STREET, RL
影响因子：
3.5
作者：
Hall, JA;Horgan, TG;Roter, DL
通讯作者：
Roter, DL
DOI：
10.1038/oby.2005.198
发表时间：
2005-09-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Bertakis, KD;Azari, R
通讯作者：
Azari, R