儿童和青少年肥胖：沙特阿拉伯利雅得初级保健医生的观点

Childhood and adolescent obesity: Primary Health Care Physicians' perspectives from Riyadh, Saudi Arabia.

作者信息

AlOtaibi Faiza Nasser, AlOtaibi Majeedah, AlAnazi Shiakhah, Al-Gethami Hanan, AlAteeq Deemah, Mishiddi Rowaydah, Siddiqui Amna Rehana

机构信息

Faiza Nasser AlOtaibi, Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Majeedah AlOtaibi, Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

Pak J Med Sci. 2017 Jan-Feb;33(1):100-105. doi: 10.12669/pjms.331.12118.

DOI:10.12669/pjms.331.12118

PMID:28367181

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5368288/

Abstract

BACKGROUND & OBJECTIVES: Primary health care (PHC) physicians are foremost to confront childhood and adolescent obesity. Our objective was to evaluate PHC Physicians perspectives for managing overweight/obesity in children and adolescents.

METHODS

PHC services from eight public hospitals in Riyadh participated. A self-administered tool maintaining anonymity evaluated facilitators and barriers for managing overweight/obese children and adolescent patients. Physicians who 'always' recommended weight management for an overweight / obese patient during past year, by involving patient, parents, and others were classified as having positive and appropriate practice.

RESULTS

Of the 58 respondents, 51.7% had appropriate practices. Lack of patient motivation (82.2%), and parental involvement (70.7%) were the major barriers. Physicians with appropriate practices differed in perspectives from those with less appropriate practices by attending continued education forums (p<0.026), referring patients to sub-specialty (p< 0.041), clinical knowledge (p<0.039), convinced on interventions (p<0.017), low concern for precipitating eating disorders (p<0.019), comfortable in examining obese patients (p<0.020), and considered patient's readiness for weight change (p< 0.007).

CONCLUSION

Efforts are needed to equip PHC physicians in managing overweight and obesity in Saudi children and adolescents.

摘要

背景与目的

初级卫生保健（PHC）医生是应对儿童和青少年肥胖问题的首要力量。我们的目的是评估初级卫生保健医生对管理儿童和青少年超重/肥胖问题的看法。

方法

利雅得八家公立医院的初级卫生保健服务机构参与了研究。一种保持匿名的自填式工具评估了管理超重/肥胖儿童和青少年患者的促进因素和障碍。在过去一年中“总是”通过让患者、家长及其他人参与来推荐对超重/肥胖患者进行体重管理的医生被归类为具有积极且恰当的做法。

结果

在58名受访者中，51.7%有恰当的做法。患者缺乏动力（82.2%）和家长参与度低（70.7%）是主要障碍。具有恰当做法的医生与做法不太恰当的医生在参加继续教育论坛（p<0.026）、将患者转诊至专科（p<0.041）、临床知识（p<0.039）、对干预措施有信心（p<0.017）、对引发饮食失调的担忧较低（p<0.019）、对检查肥胖患者感到自在（p<0.020）以及考虑患者对体重改变的准备情况（p<0.007）等方面存在观点差异。