Arvelo-Rodríguez Yaiza-María, Marrero-González Cristo-Manuel, García-Hernández Alfonso-Miguel
Programa de Doctorado en Ciencias Médicas y Farmacéuticas, Desarrollo y Calidad de Vida, Universidad de La Laguna, 38200 Santa Cruz de Tenerife, Spain.
Facultad de Enfermería, Departamento de Enfermería, Universidad de La Laguna, 38200 Santa Cruz de Tenerife, Spain.
Nurs Rep. 2025 Feb 12;15(2):66. doi: 10.3390/nursrep15020066.
: The prevalence of people with obesity is increasing worldwide, facing challenges in terms of discrimination and prejudice across all settings, including healthcare. : The objective of this review is to compare and synthesize recent scientific literature regarding nurses' behaviors and attitudes toward patients with obesity. : A systematized methodology was employed, conducting a literature search of studies published in the bibliographic resources (Academic Search Complete, CINAHL Complete, Web of Science, and Scopus from 2018 to 2023); using specific terms combined with the Boolean operators, AND and OR. Inclusion criteria: Quantitative, qualitative, or mixed research conducted on nurses and/or nursing students in a context focused on the care of adult patients with obesity. Critical appraisal tools from the Joanna Briggs Institute (JBI) were used to evaluate the included studies, and their level of evidence was also determined. : Initially, the search yielded 166 articles, of which 14 were included in this review. The results found focused on the use of scales and tools heterogeneous to each other. The findings can be categorized into two main areas: studies investigating interventions aimed at reducing negative behaviors related to weight bias and prejudice, and studies focusing on assessing these attitudes. The evidence points in a consistent direction: nurses exhibit negative attitudes toward patients with obesity. : The need for multilevel strategies, from clinical to academic training, to address this challenge is highlighted, alongside the development of research that complements the current evidence with a deeper and more detailed understanding of this phenomenon.
全球肥胖人群的患病率正在上升，在包括医疗保健在内的所有环境中，肥胖人群都面临着歧视和偏见方面的挑战。本综述的目的是比较和综合近期有关护士对肥胖患者的行为和态度的科学文献。采用了一种系统化的方法，在文献资源（2018年至2023年的《学术搜索完整版》《护理学与健康领域数据库完整版》《科学引文索引》和《Scopus》）中对已发表的研究进行文献检索；使用特定术语并结合布尔运算符“AND”和“OR”。纳入标准：在关注成年肥胖患者护理的背景下，对护士和/或护理专业学生进行的定量、定性或混合研究。使用乔安娜·布里格斯研究所（JBI）的批判性评价工具来评估纳入的研究，并确定其证据水平。最初，检索到166篇文章，其中14篇纳入了本综述。研究结果聚焦于使用彼此异质的量表和工具。研究结果可分为两个主要领域：调查旨在减少与体重偏见和歧视相关的负面行为的干预措施的研究，以及专注于评估这些态度的研究。证据指向一个一致的方向：护士对肥胖患者表现出负面态度。强调了从临床到学术培训的多层次策略来应对这一挑战的必要性，同时还需开展研究，以更深入、更详细地理解这一现象，从而补充当前的证据。
