Budd Geraldine M, Peterson Jane Anthony
Geraldine M. Budd is an associate professor and assistant dean for the Harrisburg campus in the Widener University School of Nursing, Harrisburg, PA, and Jane Anthony Peterson is a clinical associate professor in the School of Nursing and Health Studies at the University of Missouri-Kansas City. Contact author: Geraldine M. Budd,
Am J Nurs. 2015 Jan;115(1):38-46; quiz 47-8. doi: 10.1097/01.NAJ.0000459630.15292.d5.
Although there are many gaps in our understanding of the mechanisms underlying obesity, several nursing strategies have proven effective in combating this public health crisis. This article, the second in a two-part series, presents a theoretical framework to guide nursing assessment of affected patients and their families, thereby informing intervention. The authors discuss the effects of stigma and bias on the treatment of obesity; how to conduct a thorough assessment of an obese patient; the effectiveness of the most common lifestyle, pharmacologic, and surgical interventions for obesity; and issues to consider in the treatment of obese children. Part 1, which appeared in last month's issue, provided background on the epidemic; defined terms used in obesity treatment; and described pathophysiologic, psychological, and social factors that influence weight control.
尽管我们对肥胖潜在机制的理解存在许多空白，但一些护理策略已被证明在应对这一公共卫生危机方面是有效的。本文是一个两部分系列文章的第二篇，提出了一个理论框架，以指导对受影响患者及其家庭的护理评估，从而为干预提供依据。作者讨论了耻辱感和偏见对肥胖治疗的影响；如何对肥胖患者进行全面评估；肥胖最常见的生活方式、药物和手术干预措施的有效性；以及肥胖儿童治疗中需要考虑的问题。上个月刊出的第一篇文章提供了该流行病的背景信息；定义了肥胖治疗中使用的术语；并描述了影响体重控制的病理生理、心理和社会因素。
