Armstrong Shelley N, Anderson Mindi, Le Emily Tran, Nguyen Lynda H
Centenary College of Louisiana, 2911 Centenary Boulevard, Shreveport, LA 71104, USA.
Gastroenterol Nurs. 2009 May-Jun;32(3):171-8. doi: 10.1097/SGA.0b013e3181a7cf5a.
This article discusses the challenging issues faced by women who are diagnosed as being medically obese (i.e., body mass index > or = 30 kg/m). Recently cited as the new national epidemic by some healthcare professionals, obesity can lead to other medical comorbidities, including chronic heart problems, joint deterioration, sleep apnea, depression, and lower self-esteem. On the basis of medical records released by Methodist Hospital in Houston, TX, most patients who seek medical or surgical health options to control obesity are women between 25 and 40 years of age. This article discusses bariatric surgery as a weight loss option and applies the Health Belief Model to explain why patients are choosing this option to help them change eating behaviors. Interventions for nurses and other healthcare professionals are addressed.
本文讨论了被诊断为医学上肥胖(即体重指数≥30kg/m)的女性所面临的具有挑战性的问题。最近,肥胖被一些医疗保健专业人员称为新的全国性流行病,它会导致其他医学合并症,包括慢性心脏问题、关节退化、睡眠呼吸暂停、抑郁症和自尊心下降。根据德克萨斯州休斯顿卫理公会医院发布的病历,大多数寻求医疗或手术健康选择来控制肥胖的患者是25至40岁的女性。本文讨论了减肥手术作为一种减肥选择,并应用健康信念模型来解释患者为何选择这种选择来帮助他们改变饮食行为。还讨论了针对护士和其他医疗保健专业人员的干预措施。