临床医生实施常规儿科身高/长度和体重筛查及体重管理建议的评估。

Implementing routine paediatric height/length and weight screening and weight management advice by clinicians: an evaluation.

机构信息

Primary and Community Health, South Western Sydney Local Health District, 5 Thomas Rose Drive, Rosemeadow, NSW, 2560, Australia.

The University of Sydney, Sydney, Australia.

出版信息

BMC Health Serv Res. 2024 Mar 27;24(1):380. doi: 10.1186/s12913-024-10790-x.

DOI:10.1186/s12913-024-10790-x

PMID:38539191

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10967040/

Abstract

OBJECTIVE

To determine the views of health care professionals (HCPs) in South Western Sydney Local Health District (SWSLHD) about the effectiveness of implementation strategies used to increase routine height/length and weight screening, advice, and referral for children and adolescents. A secondary aim was to explore the prevalence of weight bias among HCPs.

METHODS

A questionnaire was sent to all HCPs who had undertaken online or face-to-face training between December 2018 and June 2020 in SWSLHD (n=840). The questionnaire collected data on their experience of routine height and weight screening and the effectiveness of strategies used in the implementation. It also included a weight bias assessment. Data were provided by the New South Wales (NSW) Ministry of Health on the performance of routine height/length and weight measures entered into the electronic medical records (eMR) in SWSLHD.

RESULTS

Of the 840 questionnaires sent, 87 were undeliverable; of the remaining 753, 285 were returned (38% response rate). More than half (53%, 151/285) of the participants were nurses. Most HCPs agreed that there was a need for routine screening and reported that education, training, and access to resources were the most helpful implementation strategies. Most HCPs were confident in performing routine screening but were less confident in raising the issue of weight with children and their families. Barriers to implementation were lack of time, equipment, appropriate clinical setting, and HCPs' perceptions and beliefs about obesity.

CONCLUSION

Routine screening is the first step in identifying children and adolescents at risk of overweight and obesity, but many HCP found it challenging to incorporate into daily practice. Multifaceted strategies are effective in increasing routine screening across diverse healthcare settings so that children and adolescents receive timely and appropriate intervention.

摘要

目的

了解澳大利亚新南威尔士州西南部地方卫生区（SWSLHD）医疗保健专业人员（HCPs）对增加儿童和青少年常规身高/长度和体重筛查、建议和转诊实施策略有效性的看法。次要目的是探讨 HCP 中体重偏见的流行程度。

方法

向 2018 年 12 月至 2020 年 6 月期间在 SWSLHD 参加过在线或面对面培训的所有 HCP 发送了一份问卷（n=840）。该问卷收集了他们进行常规身高和体重筛查的经验以及实施中使用策略的有效性数据。它还包括体重偏见评估。SWSLHD 电子病历（eMR）中输入的常规身高/长度和体重测量的性能数据由新南威尔士州（NSW）卫生部提供。

结果

在发送的 840 份问卷中，有 87 份无法送达；在其余的 753 份中，有 285 份被退回（38%的回复率）。参与者中超过一半（53%，151/285）为护士。大多数 HCP 认为需要进行常规筛查，并报告教育、培训和获得资源是最有帮助的实施策略。大多数 HCP 对进行常规筛查有信心，但对与儿童及其家人讨论体重问题的信心较低。实施的障碍包括缺乏时间、设备、适当的临床环境以及 HCP 对肥胖的看法和信念。