Department of Public Health, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.
Int J Qual Stud Health Well-being. 2024 Dec;19(1):2306658. doi: 10.1080/17482631.2024.2306658. Epub 2024 Jan 23.
This study aimed to develop knowledge of how the follow-up regarding overweight and obesity among children in primary school is experienced by the PHN and how the guidelines may be used to improve health services in this follow-up.
We analysed semi-structured interviews of 9 PHNs using qualitative content analysis.
Two themes emerged: Following up with children with overweight and obesity is an important but challenging duty; The PHNs call for clearer guidelines. Following five sub-themes: PHNs strive to adhere to the guidelines, show compassion in the follow-up, have difficulty handling parents' feelings and reactions, feel alone with the responsibility, and have suggestions for clearer guidelines.
PHNs call for enough resources to communicate the results of the child's weight in a sufficient form. PHNs and families should establish common goals. The PHN should avoid one-way communication but meet the parents' concerns and needs. This requires the PHN to focus on building a secure relation to the child and the families, as described by Peplau. Guidelines must include instructions and tools on how to communicate and meet the family's concerns. Political action and increased funding could strengthen the follow-up and thereby prevent more obesity among children, which can be a predictor of poorer health outcomes later in life.
本研究旨在了解初级学校中针对超重和肥胖儿童的后续护理工作，社区护士（PHN）是如何体验的，以及如何利用这些指导方针来改善后续护理服务。
我们对 9 名 PHN 进行了半结构化访谈，采用定性内容分析法进行分析。
出现了两个主题：对超重和肥胖儿童进行随访是一项重要但具有挑战性的任务；PHN 呼吁更明确的指导方针。以下五个子主题：PHN 努力遵守指南，在随访中表现出同情心，处理家长的感受和反应困难，感到独自承担责任，以及对更明确的指南提出建议。
PHN 呼吁提供足够的资源，以充分的形式传达儿童体重的结果。PHN 和家庭应建立共同的目标。PHN 应避免单向沟通，而应满足家长的关注和需求。这需要 PHN 专注于建立与儿童和家庭的安全关系，正如 Peplau 所描述的那样。指南必须包括有关如何沟通和满足家庭关注的说明和工具。政治行动和增加资金可以加强后续护理，从而防止更多的儿童肥胖，这可能是未来健康状况不佳的预测因素。
