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医疗保健专业人员对肥胖和超重产妇的态度:一项定量研究。

Healthcare Professionals' Attitudes about Parturients Living with Obesity and Overweight: A Quantitative Study.

作者信息

Al Obeisat Salwa M, Abdel-Nabi Tahani, Alnuaimi Karimeh, Bani Hani Salam, Mrayan Lina, Hweidi Issa, Nashwan Abdulqadir

机构信息

Faculty of Nursing, Maternal-Child Health Nursing Department, Jordan University of Science and Technology, Irbid, Jordan.

Department of Nursing, Faculty of Nursing, Irbid National University, Irbid, Jordan.

出版信息

Obes Facts. 2025 May 2:1-15. doi: 10.1159/000546113.

Abstract

INTRODUCTION

The prevalence of obesity and overweight has risen to an epidemic level globally, posing significant challenges to healthcare systems. Studies revealed that individuals with obesity and overweight frequently face negative societal perceptions and are often blamed for their weight. Healthcare personnel are not exempt from biases associated with obesity, which can affect their interaction with patients. As frontline providers of care, healthcare professionals play a critical role in managing obesity and related health conditions. However, their attitudes toward individuals with obesity and overweight can influence the quality of care provided, patient satisfaction, and health outcomes. The current study assesses healthcare professionals' attitudes about parturients living with overweight and obesity in northern Jordan, as well as the sociodemographic factors associated with their attitudes.

METHODS

Using a cross-sectional, descriptive design, this study recruited a convenience sample consisting of 62 obstetricians, 30 registered nurses, and 95 certified midwives from labor units. Participants completed a questionnaire concerning their sociodemographic characteristics, and Arabic versions of the Fat Phobia Scale (FPS) and Nurses' Attitudes toward Obesity and Obese Patients Scale (NATOOPS).

RESULTS

The overall mean scores of the sample on both scales indicated negative attitudes. Most of the sample was female, married, and aged 29 years. Midwives held more positive attitudes than did obstetricians and nurses. Most participants perceived parturients living with overweight and obesity as overate people, shapeless, slow, and unattractive. Younger participants with long years of experience held less negative attitudes than the rest of the sample. The ANOVA test results showed significant differences in attitudes toward parturients living with overweight and obesity based on age and educational level. Participants with PHD in medicine and a BS in midwifery held positive attitudes. Post hoc Tukey HSD test indicated that the mean (FPS) of the PhD holders and the bachelor's midwifery holders was significantly lower than that of the diploma in midwifery holders (p = 0.012 and p < 0.001, respectively).

CONCLUSIONS

It is necessary to treat maternal obesity more adequately in both beginning education courses and continuing professional education seminars for working professionals.

摘要

引言

肥胖和超重的患病率在全球已上升至流行水平,给医疗保健系统带来了重大挑战。研究表明,肥胖和超重者经常面临负面的社会认知,且常因其体重而受到指责。医护人员也难免存在与肥胖相关的偏见,这可能会影响他们与患者的互动。作为一线护理人员,医疗保健专业人员在管理肥胖及相关健康状况方面发挥着关键作用。然而,他们对肥胖和超重者的态度会影响所提供护理的质量、患者满意度和健康结果。本研究评估了约旦北部医疗保健专业人员对患有超重和肥胖症的产妇的态度,以及与他们态度相关的社会人口学因素。

方法

本研究采用横断面描述性设计,从产房招募了一个便利样本,包括62名产科医生、30名注册护士和95名认证助产士。参与者完成了一份关于其社会人口学特征的问卷,以及阿拉伯语版的肥胖恐惧症量表(FPS)和护士对肥胖及肥胖患者态度量表(NATOOPS)。

结果

样本在两个量表上的总体平均得分表明存在负面态度。样本中的大多数为女性、已婚,年龄为29岁。助产士的态度比产科医生和护士更为积极。大多数参与者认为患有超重和肥胖症的产妇是过度进食的人、没有体型、行动迟缓且缺乏吸引力。经验丰富的年轻参与者的负面态度比样本中的其他人员少。方差分析测试结果显示,基于年龄和教育水平,对患有超重和肥胖症的产妇的态度存在显著差异。拥有医学博士学位和助产士学士学位的参与者持积极态度。事后Tukey HSD检验表明,博士学位持有者和助产士学士学位持有者的平均(FPS)得分显著低于助产士文凭持有者(分别为p = 0.012和p < 0.001)。

结论

有必要在初始教育课程以及在职专业人员的继续职业教育研讨会上更充分地对待孕产妇肥胖问题。

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Attitudes of Medical Professionals Towards Discrimination of Patients with Obesity.医学专业人员对肥胖患者歧视的态度。
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