Department of Health Care Sciences, Faculty of Health and Society, Malmö University, Malmö, Sweden.
BMC Fam Pract. 2012 Jun 14;13:57. doi: 10.1186/1471-2296-13-57.
Registered Sick Children's Nurses and District Nurses employed at Child Health Care centres are in a position to help prevent childhood overweight and obesity. Prevention of this challenging public health threat could be improved through having a better understanding of how this group of nurses perceives childhood obesity. The aim of this study was to elucidate the conceptions of childhood overweight, including obesity, among nurses working in Child Health Care.
A qualitative study using a phenomenographic approach, based on open-ended interviews with 18 Child Health Care nurses (CHC-nurses) strategically selected from 17 Child Health Care Centres in the southern part of Sweden.
Four categories of description emerged from the data: Perception of childhood overweight changes, Overweight in younger children a neglected concern, Overweight a delicate issue and Importance of family lifestyle. The participating CHC-nurses conceived overweight in children, primarily obesity in children to be an extensive and serious problem which affects children, families and the surrounding society. Overweight in children was further perceived as a consequence of their parent's lifestyle and their awareness of the problem, which was considered by the CHC-nurses as a sensitive and a provoking issue. It was also perceived that overweight in children is not taken seriously during the pre-school period and that concerns regarding overweight in younger children were mainly about the appearance and not the health of the child. The CHC-nurses perceived that the proportion of overweight children has increased, which Swedish society and the CHC-nurses have adapted to. This adaptation makes it difficult for CHC-nurses to define those children who are overweight.
CHC-nurses provide a comprehensive and complex picture of childhood overweight, which includes several difficulties dealing with this issue. Attention to CHC-nurse's conceptions of overweight in children is important since it can affect the parent-nurse relationship and thereby the nurse's, as well as the parent's efforts to influence the children's weight. It is suggested that CHC- nurses should work with person centered counseling and empowerment concerning parent to child relations in cases involving overweight.
在儿童保健中心工作的注册患病儿童护士和地区护士能够帮助预防儿童超重和肥胖。通过更好地了解这群护士如何看待儿童肥胖，可以改善对这一具有挑战性的公共卫生威胁的预防。本研究的目的是阐明在儿童保健工作的护士对儿童超重（包括肥胖）的概念。
这是一项采用现象学方法的定性研究，对从瑞典南部的 17 个儿童保健中心中经过战略选择的 18 名儿童保健护士（CHC 护士）进行了开放式访谈。
从数据中出现了四个描述类别：对儿童超重的看法发生了变化，幼儿超重被忽视，超重是一个微妙的问题，以及家庭生活方式的重要性。参与研究的 CHC 护士认为儿童超重，主要是儿童肥胖是一个广泛而严重的问题，影响儿童、家庭和周围社会。超重还被认为是父母生活方式和对问题的认识的结果，这被 CHC 护士认为是一个敏感和有争议的问题。此外，CHC 护士认为儿童在学龄前期间并没有认真对待超重问题，对幼儿超重的关注主要是关于孩子的外貌而不是健康。CHC 护士认为超重儿童的比例有所增加，瑞典社会和 CHC 护士已经适应了这一现象。这种适应使得 CHC 护士难以确定哪些孩子超重。
CHC 护士对儿童超重的描述全面而复杂，其中包括处理这一问题的若干困难。关注 CHC 护士对儿童超重的概念很重要，因为它可能会影响父母与护士的关系，从而影响护士以及父母对儿童体重的影响。建议 CHC 护士应在涉及超重的情况下，针对父母与子女的关系，采用以患者为中心的咨询和赋权方法。
