Kirk Sara F L, Cramm C Lisa, Price Sheri L, Penney Tarra L, Jarvie Lorraine, Power Hilda
School of Health Administration, Dalhousie University, Halifax, Nova Scotia.
Can Nurse. 2009 Jan;105(1):25-8.
Body mass index (BMI) is a significant indicator of health and well-being.The notion of considering BMI as a vital sign was first put forward over a decade ago; however, many health-care professionals do not routinely measure height and weight, or calculate BMI. Given the current obesity epidemic, this oversight has implications for the diagnosis and management of obesity and for appropriate healthcare delivery for obese patients. The authors propose that BMI should be considered a vital sign.They suggest that protocols be put in place to encourage health-care providers to record BMI routinely and to take action to address a BMI that is outside the normal range. Promoting the routine calculation of BMI on admission or initial assessment may encourage health-care professionals to become more aware of obesity and its impact on the patient and the health system.
体重指数(BMI)是健康和幸福的重要指标。将BMI视为生命体征的概念早在十多年前就首次提出;然而,许多医护人员并未常规测量身高和体重,或计算BMI。鉴于当前肥胖症的流行,这种疏忽对肥胖症的诊断和管理以及肥胖患者的适当医疗服务提供都有影响。作者提议应将BMI视为生命体征。他们建议制定相关规程,以鼓励医护人员常规记录BMI,并针对超出正常范围的BMI采取行动。在入院时或初次评估时推广常规计算BMI,可能会促使医护人员更加了解肥胖症及其对患者和卫生系统的影响。