一个情绪化的话题--当儿童健康中心的护士向家长介绍有关孩子超重的话题时,家长的感受。

IF 3.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH BMC Public Health Pub Date : 2024-11-20 DOI:10.1186/s12889-024-20696-2
Marie Fridolfsson, Anna Olsson, Jenny Ericson, Catrin Borneskog, Catrin Borneskog Sinclair
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引用次数: 0

摘要

背景:体重指数(BMI)超标的儿童是全球公共卫生的一大挑战,会对儿童的身心健康造成严重后果。儿童保健护士的职责是促进儿童健康和预防儿童疾病,但由于超重是一种耻辱,儿童保健护士发现很难与家长谈论对儿童体重的担忧,害怕失去他们的信任:本研究通过对九位家长进行半结构化访谈,并采用定性内容分析法对数据进行分析:结果表明,儿童时期超重是一个敏感话题,具体表现为四个方面:难以应对、保护孩子的愿望、父母观点的改变以及信任--一个中介因素。这对父母来说是一个敏感话题,他们很难接受这种情况,并将责任归咎于自己,护士的方法和与父母的关系对谈话的结果非常重要:结论:与医疗服务提供者相比,家长似乎对健康和体重有另一种看法,家长和社区健康中心护士都可能会从增进对彼此观点的理解中受益。家长需要了解医疗服务提供者如何评估儿童的生长发育,而社区健康中心的护士则需要注意如何对家长做出回应,并让他们有时间处理信息。无论体重如何,重点都应放在选择健康的生活方式上。
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An emotionally loaded subject - parents experiences when CHC-nurses introduce a conversation related to their child being overweight.

Background: Children with a raised BMI are a major public health challenge in the world that can cause serious consequences for children's physical and mental health. Child health care nurses' responsibility is to promote health and prevent ill-health in children, but because being overweight is stigmatized CHC-nurses find it difficult to talk to the parents about concerns over the children's weight, in fear of losing their trust.

Aim: The purpose of this study was to describe parents' experiences of when CHC-nurses introduce a conversation related to their child being overweight.

Method: This study was conducted via semi-structured interviews with nine parents and the data was analyzed using qualitative content analysis.

Results: The result showed that being overweight in childhood is a sensitive topic, and this is presented as four categories A hard time coping, A desire to protect the Children, Changes of Parental Perspective and Trust - a mediating factor. This is a sensitive topic for the parents, who have a hard time accepting the situation and place the blame on themselves, and the nurse's approach and relationship with the parents is of great importance for the outcome of the conversation.

Conclusions: Parents seem to have another perspective on health and weight than the healthcare providers, and both parents and CHC-nurses might benefit from an increased understanding of one another's view. Parents need to gain knowledge about how healthcare providers assess children's growth, and the CHC-nurses need to be aware about how to be responsive to the parents and allow them time to process the information. The focus should be on healthy lifestyle choices regardless of weight.

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来源期刊
BMC Public Health
BMC Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
4.40%
发文量
2108
审稿时长
1 months
期刊介绍: BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.
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