临床医生根据儿童的种族/族裔对儿童超重和肥胖建议的遵循情况。
Clinician adherence to childhood overweight and obesity recommendations by race/ethnicity of the child.
作者信息
Gance-Cleveland Bonnie, Aldrich Heather, Schmiege Sarah, Coursen Cristi, Dandreaux Danielle, Gilbert Lynn
机构信息
College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
出版信息
J Spec Pediatr Nurs. 2015 Apr;20(2):115-22. doi: 10.1111/jspn.12107. Epub 2015 Feb 18.
PURPOSE
This study describes school-based health center (SBHC) providers' adherence to obesity guidelines.
DESIGN AND METHODS
Providers (n = 28) were from SBHCs in six states serving children 5-12 years of age. A random sample of well-child charts (n = 850) were audited for body mass index percentage, blood pressure percentage, overweight/obesity diagnosis, and laboratory assessment.
RESULTS
Body mass index percentage was documented on 73% of charts and blood pressure percentage on 30.5%. Providers accurately diagnosed 40% overweight and 49.3% obese children. Laboratory guidelines were followed in 80.4% of cases. Assessments differed by child's race/ethnicity (p < .05), with most criteria having higher adherence in minority youth.
PRACTICE IMPLICATIONS
There is a need for increased accuracy in how SBHC providers screen overweight/obese children.
目的
本研究描述了学校健康中心（SBHC）提供者对肥胖指南的遵守情况。
设计与方法
提供者（n = 28）来自六个州的学校健康中心，服务5至12岁儿童。随机抽取健康儿童病历样本（n = 850），审核其体重指数百分比、血压百分比、超重/肥胖诊断及实验室评估情况。
结果
73%的病历记录了体重指数百分比，30.5%记录了血压百分比。提供者准确诊断出40%的超重儿童和49.3%的肥胖儿童。80.4%的病例遵循了实验室指南。评估因儿童的种族/族裔而异（p < .05），大多数标准在少数族裔青少年中具有更高的遵守率。
实践意义
学校健康中心提供者筛查超重/肥胖儿童的准确性有待提高。
Zotero 插件