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初级保健中父母对孩子体重指数和健康状况的认知

Parental perception of child's body mass index and health within primary care.

作者信息

Reyes Imelda, Higgins Melinda

机构信息

Emory University and Children's Healthcare of Atlanta, Atlanta, Georgia.

Emory University, Atlanta, Georgia.

出版信息

J Am Assoc Nurse Pract. 2017 Jul;29(7):375-383. doi: 10.1002/2327-6924.12463. Epub 2017 Apr 25.

Abstract

BACKGROUND AND PURPOSE

Overweight and obesity are sensitive issues to address with pediatric patients during any visit. Patients and families may not recognize that their child is overweight or obese and may not be ready to make change. The goals for this study were to collect overall statistics on the clinic in regards to weight status of children presenting for well child visits and to capture parental perception of the child's weight status in relation to child's age.

METHODS

A consecutive sample of parents and caregivers with a child aged 2-18 completed the survey and consented for the study on the day of the survey during a well child visit.

CONCLUSIONS

Parents, regardless of culture and age tended to underestimate the weight of their child. These findings further support the literature in that the younger the child, the more likely it is that the parent underestimates their weight status.

IMPLICATIONS FOR PRACTICE

Interventions should include early education with parents on what a healthy weight is and how it can predict future health. Addressing and recognizing early concerns and assessing parental perception can be important if educational messages are delivered throughout the span of the early years.

摘要

背景与目的

在每次就诊时,超重和肥胖都是与儿科患者讨论的敏感问题。患者及其家属可能并未意识到自己的孩子超重或肥胖,也可能尚未准备好做出改变。本研究的目的是收集该诊所中前来进行健康儿童检查的儿童体重状况的总体统计数据,并了解家长对孩子体重状况与年龄关系的看法。

方法

在健康儿童检查当天,对2至18岁儿童的家长和照料者进行连续抽样,让他们完成调查问卷并同意参与研究。

结论

无论文化和年龄如何,家长往往都会低估孩子的体重。这些发现进一步支持了相关文献,即孩子越小,家长越有可能低估其体重状况。

对实践的启示

干预措施应包括对家长进行早期教育,让他们了解健康体重是多少以及健康体重如何预测未来健康。如果在幼儿期全程传递教育信息,关注并认识到早期问题以及评估家长的看法可能很重要。

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