Smigelski-Theiss Rachel, Gampong Malisa, Kurasaki Jill
Rachel Smigelski-Theiss is Clinical Nurse Specialist, Queen's Medical Center, 1301 Punchbowl Street, Honolulu, HI 96813 (
AACN Adv Crit Care. 2017 Fall;28(3):254-262. doi: 10.4037/aacnacc2017446.
Obesity is a complex medical condition that has psychosocial and physiological implications for those suffering from the disease. Factors contributing to obesity such as depression, childhood experiences, and the physical environment should be recognized and addressed. Weight bias and stigmatization by health care providers and bedside clinicians negatively affect patients with obesity, hindering those patients from receiving appropriate care. To provide optimal care of patients with obesity or adiposity, health care providers must understand the physiological needs and requirements of this population while recognizing and addressing their own biases. The authors describe psychosocial and environmental factors that contribute to obesity, discuss health care providers' weight biases, and highlight implications for acute care of patients suffering from obesity.
肥胖是一种复杂的医学状况,对患有该疾病的人具有心理社会和生理影响。导致肥胖的因素,如抑郁症、童年经历和物理环境等,都应得到认识和解决。医疗保健提供者和床边临床医生的体重偏见及污名化对肥胖患者产生负面影响,阻碍这些患者获得适当的护理。为了为肥胖或超重患者提供最佳护理,医疗保健提供者必须了解这一人群的生理需求和要求,同时认识并解决自身的偏见。作者描述了导致肥胖的心理社会和环境因素,讨论了医疗保健提供者的体重偏见,并强调了对肥胖患者急性护理的影响。