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家长和孩子在儿童超重和肥胖综合护理中协调专业人员方面的体验-一种新颖的荷兰方法。

Parents' and Children's Experiences with a Coordinating Professional in Integrated Care for Childhood Overweight and Obesity-A Novel Dutch Approach.

机构信息

Tranzo, Scientific Center for Care and Wellbeing, Tilburg School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, The Netherlands.

Municipal Health Service (GGD) Hart voor Brabant, P.O. Box 3024, 5003 DA Tilburg, The Netherlands.

出版信息

Int J Environ Res Public Health. 2022 May 10;19(10):5797. doi: 10.3390/ijerph19105797.

DOI:10.3390/ijerph19105797
PMID:35627348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9141245/
Abstract

BACKGROUND

In the new integrated program of care for childhood overweight and obesity (ICCO), a Youth Health Care (YHC) nurse has the role of a coordinating professional. After a broad assessment of strengths and weaknesses in the family setting, this coordinating professional makes a plan of action with the child and parents and involves other professionals when needed. The aim of this study was to explore the experiences of parents and children with the coordinating professional in the ICCO.

MATERIAL & METHODS: Semi-structured interviews were conducted with eight families. Interview data were analyzed using content analysis. In addition, descriptive data on involved professionals and referrals was collected with an online questionnaire in 38 families.

RESULTS

In total, eight families (8 mothers, 2 fathers, four boys and three girls aged 10-12 yrs) were interviewed and 38 children and parents filled in (three consecutive) online questionnaires.

FINDINGS

The main themes related to the experiences of parents and children with the CP: parents and children felt supported and understood by the coordinating professional. They appreciated the broad perspective and personal approach. Contacts with the coordinating professional were not always frequent. Major points of improvement concerned the intensity of the follow-up and collaboration. Only few parents experienced collaboration between the coordinating professional and other professionals in the ICCO.

CONCLUSIONS

Parents and children appreciated the personal approach of the Youth Health Care nurse as a CP. The role of the coordinating professional, however, appears not fully implemented yet. Strengthening the promising role of the coordinating professional in the ICCO is recommended.

摘要

背景

在儿童超重和肥胖综合护理新方案(ICCO)中,青年保健护士(YHC)扮演着协调专业人员的角色。在对家庭环境中的优势和劣势进行广泛评估后,这位协调专业人员与孩子和家长一起制定行动计划,并在需要时涉及其他专业人员。本研究旨在探讨家长和孩子对 ICCO 中协调专业人员的体验。

材料与方法

对 8 个家庭进行了半结构化访谈。使用内容分析法对访谈数据进行分析。此外,通过 38 个家庭的在线问卷收集了涉及专业人员和转介的描述性数据。

结果

共对 8 个家庭(8 位母亲、2 位父亲、4 名 10-12 岁男孩和 3 名女孩)进行了访谈,38 名儿童和家长连续填写了(三)份在线问卷。

发现

与协调专业人员相关的家长和孩子体验的主要主题包括:家长和孩子感到被协调专业人员支持和理解。他们赞赏其广泛的视角和个人方法。与协调专业人员的联系并不总是频繁。主要改进点涉及随访和合作的强度。只有少数家长体验到协调专业人员与 ICCO 中的其他专业人员之间的合作。

结论

家长和孩子赞赏青年保健护士作为协调专业人员的个人方法。然而,协调专业人员的角色似乎尚未完全实施。建议加强协调专业人员在 ICCO 中的有前途的作用。

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本文引用的文献

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BMC Health Serv Res. 2021 Jun 28;21(1):611. doi: 10.1186/s12913-021-06635-6.
2
Social vulnerabilities as risk factor of childhood obesity development and their role in prevention programs.社会脆弱性作为儿童肥胖发展的风险因素及其在预防计划中的作用。
Int J Obes (Lond). 2021 Jan;45(1):1-11. doi: 10.1038/s41366-020-00697-y. Epub 2020 Oct 8.
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National and Local Strategies in the Netherlands for Obesity Prevention and Management in Children and Adolescents.荷兰在儿童和青少年肥胖预防和管理方面的国家和地方策略。
Obes Facts. 2020;13(4):418-429. doi: 10.1159/000509588. Epub 2020 Aug 18.
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Communication of children's weight status: what is effective and what are the children's and parents' experiences and preferences? A mixed methods systematic review.儿童体重状况的沟通:什么是有效的,以及儿童和家长的经验和偏好是什么?一项混合方法系统评价。
BMC Public Health. 2020 Apr 28;20(1):574. doi: 10.1186/s12889-020-08682-w.
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The "Stages Towards Completion Model": what helps and hinders children with overweight or obesity and their parents to be guided towards, adhere to and complete a group lifestyle intervention.“完成阶段模型”:有助于和阻碍超重或肥胖儿童及其父母接受、坚持和完成团体生活方式干预的因素。
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The evaluation of an integrated network approach of preventive care for children with overweight and obesity; study protocol for an implementation and effectiveness study.评估超重和肥胖儿童综合预防保健网络方法;实施和效果研究的研究方案。
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