Women's stories of their experiences as overweight patients
Women's stories of their experiences as overweight patients
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DOI：
10.1111/j.1365-2648.2008.04794.x
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发表时间：
2008-10-01
影响因子：
3.8
通讯作者：
Grassley, Jane
中科院分区：
文献类型：
--
作者：
Merrill, Emily;Grassley, Jane
的目标。本文是一项研究报告，旨在阐明女性作为超重患者在遇到医疗保健服务和医疗保健提供者时的经历的意义。超重和肥胖是国际上妇女健康日益重要的问题。超重或肥胖的妇女可能会推迟或避免保健，如果保健提供者以前对她们的体重作出负面反应。然而，关注女性作为超重患者和作为医疗保健服务接受者的经历的意义的研究缺乏。使用了解释学现象学方法。2007年在美国进行了面对面的访谈，访谈对象是8名自认为是超重患者的女性志愿者。范马南的生活世界存在主义的生活空间、生活身体、生活时间和生活关系引导反思的框架进行数据分析。妇女经历的本质是一场适应医疗保健服务世界的战斗。确定了四个主要主题。“努力适应”包括试图适应有限的物理空间（检查室、设备）、有限的时间、有限的满意度和与医疗保健提供者的关系的支持。“被解雇”包括与医疗服务提供者进行贬低和尴尬的互动。“感觉自己不太像人”指的是因体型不同而被耻辱感。“拒绝放弃”包括坚持寻求专业人士的支持和建议，尽管过去有过不好的经历。对这些发现的认识可以改变对女性超重患者经历的理解，并提高全世界护士制定敏感的沟通策略和支持整体护理的医疗环境的意识。
Aim. This paper is a report of a study to illuminate the meaning of women's experiences as overweight patients in their encounters with healthcare services and healthcare providers.Background. Overweight and obesity are increasingly important issues for women's health internationally. Overweight or obese women may delay or avoid health care if care providers have previously reacted negatively to them based on weight. However, studies focusing on the meaning of women's experiences as overweight patients and as recipients of healthcare services are lacking.Method. A hermeneutic phenomenological approach was used. Face-to-face interviews were conducted in the United States of America in 2007 with eight women volunteers who self-identified as being overweight patients. The framework of van Manen's lifeworld existentials of lived space, lived body, lived time and lived relation-guided reflection for data analysis.Findings. The essence of women's experiences was a battle to fit into the world of healthcare services. Four major themes were identified. 'Struggling to fit in' consisted of trying to fit into limited physical space (examination rooms, equipment), limited time, and limited satisfaction and support in relationships with healthcare providers. 'Being dismissed' consisted of demeaning and embarrassing interactions with providers. 'Feeling not quite human' involved the stigma of being different because of body size. 'Refusing to give up' consisted of persistence in seeking support and advice from professionals despite negative past experiences.Conclusion. Awareness of these findings could reform understanding of women's experiences as overweight patients and raise the consciousness of nurses worldwide to develop sensitive communication strategies and healthcare environments that support holistic care.