Wisconsin Research and Education Network, Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin,
Wisconsin Research and Education Network, Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
WMJ. 2023 Sep;122(4):277-279.
Health At Every Size is a paradigm that encourages body acceptance, intuitive eating, and other principles to increase healthy, peaceful living. The model is accepted by many in the mental health field, but in order for its principles to become standard in clinical (medical) care, clinician perspectives on Health at Every Size should be sought and understood.
Ten clinicians were interviewed (4 physicians, 2 nurse practitioners, and 4 physician assistants). Participants reviewed the HAES principles, and identified facilitators and barriers to respectful, weight-inclusive care.
Most clinicians felt that body mass index is a useful, standard metric, but it is inadequate and can be a cause of distress. Providing non-weight-focused care was identified as the primary facilitator to respectful care.
Participants viewed body mass index as useful in some scenarios but do not think it encompass a patient's well-being and has the potential to cause the patient distress (eg, perpetuating weight stigma). Barriers to using Health At Every Size in clinical practice included the need for clinician education, bias/stigma, and a focus on weight.
健康大小包容模式鼓励接纳身体、直觉进食和其他原则，以增加健康、平和的生活。该模式得到心理健康领域许多人的认可，但为了使健康大小包容模式的原则成为临床（医疗）护理的标准，应该寻求并理解临床医生对健康大小包容模式的看法。
对 10 名临床医生进行了访谈（4 名医生、2 名执业护士和 4 名医师助理）。参与者审查了 HAES 原则，并确定了尊重体重包容护理的促进因素和障碍。
大多数临床医生认为体重指数是一种有用的标准指标，但它是不充分的，可能会引起痛苦。提供非体重为重点的护理被认为是尊重护理的主要促进因素。
参与者认为体重指数在某些情况下是有用的，但不认为它包含了患者的整体健康状况，并且有可能导致患者痛苦（例如，加剧体重歧视）。在临床实践中使用健康大小包容模式的障碍包括临床医生教育、偏见/歧视以及对体重的关注的需要。
