加纳儿童肥胖管理:卫生工作者和家长的声音

L. Yarney, B. Bamfo, M. Boatemaa
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引用次数: 0

摘要

肥胖被世界银行描述为一颗“定时炸弹”,对穷人和中低收入国家居民的经济和健康有巨大的潜在破坏性影响。然而,肥胖只被认为是富人、城市居民和高收入国家居民面临的挑战。这项研究是在加纳进行的,目的是深入了解卫生工作者和家长对儿童肥胖的决定因素和管理。本研究采用定性案例研究的设计方法,通过深度访谈指南收集数据,访谈对象为从第37军医院儿科中有意挑选的5名医生、7名护士和18名家长。记录的访谈被抄录,手动编码,并使用扎根理论的原则进行分析。由于管理不善,儿童肥胖呈上升趋势。决定因素既有家族性的,也有环境性的,对健康和心理都有不利影响。一些医疗保健提供者需要在评估、诊断、适当的解释和管理条件的培训。有关利益攸关方还需要对公众,特别是家长进行大规模教育,以减少加纳儿童肥胖的发生率及其伴随的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of Obesity in Ghanaian Children: Voices of Health-workers and Parents
Obesity has been described by the World Bank as a “ticking time bomb” which has significant potential devastating economic and health effects, for the poor, and low-and-middle-income country dwellers. However, obesity is thought of as a challenge only among the rich, urban, and high-income country inhabitants. This study was conducted in Ghana to gain in-depth understanding of the determinants and management of obesity in children among healthworkers and parents. A qualitative case-study in design, data were collected with an in-depth interview guide from five doctors, seven nurses and eighteen parents purposively selected from the paediatric department of the 37 Military Hospital. Recorded interviews were transcribed, coded manually, and analyzed using the principles of Grounded Theory. Obesity in children is on the ascendancy with inadequate management. Determinants are both familial and environmental with detrimental health and psychological consequences. Some healthcare providers need to be trained in the assessment, diagnosis, proper interpretation, and management of the condition. There is also the need for mass education of the public especially parents, by relevant stakeholders to reduce the incidence of obesity in children and its attendant problems in Ghana. 
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