肥胖患者在从三级肥胖治疗过渡到社区护理期间的支持需求。

Support needs of people living with obesity during transition from tertiary obesity treatment to community care.

机构信息

School of Medicine, Western Sydney University, Penrith, NSW 2751, Australia.

School of Health Sciences, Western Sydney University, Penrith, NSW 2751, Australia.

出版信息

Obes Res Clin Pract. 2022 Nov-Dec;16(6):514-523. doi: 10.1016/j.orcp.2022.09.005. Epub 2022 Oct 4.

DOI:10.1016/j.orcp.2022.09.005

PMID:36207249

Abstract

BACKGROUND

As the number of people living with obesity increases, the maintenance of treatment outcomes is especially pertinent. Treatment at tertiary obesity services have proven to be successful, but patients need to be transitioned out of these services to community-based care to accommodate the influx of new patients. Little is known about the support needs of patients after transition from acute tertiary obesity services. It is important to establish the supports needed by these patients, especially in the context of maintaining treatment outcomes and ensuring continuity of care.

METHODS

A qualitative study was conducted to identify the support needs of people with obesity as they transition to community care. Patients and clinicians recruited from a tertiary obesity clinic participated in semi-structured interviews and focus groups to explore factors influencing transition and supports needed in the community. Data was collected through audio recordings, transcribed verbatim and analysed thematically.

RESULTS

A total of 16 patients and 7 clinicians involved in the care of these patients participated between July 2020 and July 2021. Themes identified included the influence of clinic and individual factors on transition, the benefits of phased transition, patient-centred communication, and the role of social support. It was found that dependency and lack of self-efficacy, as well as low social support, hindered transition efforts. It was also identified that patients required substantial integrated professional and social support structures in the community to adequately address their care needs both during and following transition.

CONCLUSION

Interventions are needed to provide social community services following transition to ensure adequate community care that can support the maintenance of treatment outcomes. Such services should be integrated and address the social needs of people living with obesity.

摘要

背景

随着肥胖人群的增加，维持治疗效果尤为重要。三级肥胖服务的治疗已被证明是成功的，但患者需要从这些服务过渡到社区为基础的护理，以适应新患者的涌入。患者从急性三级肥胖服务过渡后，对支持的需求知之甚少。了解这些患者的支持需求很重要，特别是在维持治疗效果和确保护理连续性的背景下。

方法

本研究采用定性研究方法，旨在确定肥胖患者在过渡到社区护理时的支持需求。从一家三级肥胖诊所招募的患者和临床医生参加了半结构化访谈和焦点小组，以探讨影响过渡的因素以及社区中所需的支持。通过录音、逐字转录和主题分析收集数据。

结果

2020 年 7 月至 2021 年 7 月，共有 16 名患者和 7 名参与这些患者护理的临床医生参与了研究。确定的主题包括诊所和个人因素对过渡的影响、分阶段过渡的好处、以患者为中心的沟通以及社会支持的作用。研究发现，依赖和缺乏自我效能以及低社会支持阻碍了过渡努力。还发现，患者在社区中需要大量综合的专业和社会支持结构，以在过渡期间和之后充分满足他们的护理需求。