“称重是恼人的”-称重高体重的孩子之间的不适，歧视和潜在的改变

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-09-25 DOI:10.1016/j.pedn.2025.09.018

Lucie Schröder, Sandra Fahrenkrog, Laura Klüpfel, Judith Stumm

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引用次数: 0

摘要

目的称重是医疗保健的一部分。然而，人们对体重污名化、卫生专业人员的歧视行为和超重儿童的体重状况之间的关系知之甚少。本研究探讨了高体重儿童的体重状况，旨在识别重要的设定因素和歧视行为，从而为体重敏感方法提供机会。方法采用混合方法设计，在德国4家专门为诊断为“肥胖”的儿童提供门诊康复方案的康复中心进行定性研究。对19名卫生专业人员和19名家长进行了半结构化电话访谈，并对6个半结构化焦点小组进行了调查，共涉及35名儿童。数据分析之后是框架分析。结果围绕称重情况的几个主题被强调，包括不舒服的感觉，以及发展为饮食失调的风险。在场的人数、被强迫脱衣服的人数、医生的性别和体重都被认为是影响设置的因素。卫生专业人员的歧视行为可能导致不适和逃避医疗保健系统。几个孩子建议身边少一些人，决定谁来给他们称重，自己穿衣服。孩子们在称重后要求敏感的反应，并决定何时称重。结论体重是一种高度敏感的疾病，需要提高对体重的认识，采取体重敏感的方法。这些发现强调需要对保健专业人员进行体重敏感评估和治疗方面的培训。本研究结果为临床医生进行体重敏感称重提供了重要指导，并提出了改进称重实践的建议。

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“Weighing is annoying” – Weighing of higher-weight children between discomfort, discrimination, and potential for change

Objective

Weighing is part of medical care. Still, little is known about the relationship between weight stigma, discriminatory behavior by health professionals, and the weighing situation of higher-weight children. This study explored the weighing situation of higher-weight children with the aim of identifying important setting factors and discriminatory behaviors, thus providing opportunities for a weight-sensitive approach.

Methods

Qualitative study-arm within a mixed methods design in 4 rehabilitation centers in Germany specialized in outpatient rehabilitation programs for children diagnosed with “obesity”. Semi-structured telephone interviews with 19 health professionals and 19 parents, and 6 semi-structured focus groups with a total of 35 children were conducted. Data analysis followed the framework analysis.

Results

Several themes surrounding the weighing situation were highlighted, including uncomfortable feelings, and the risk of developing eating disorders. The number of people in attendance, being forced to undress, or the gender and weight of the doctor were mentioned as influencing setting factors. Discriminatory behavior by health professionals could cause discomfort and avoidance of the healthcare system. Several children suggested having fewer people around, deciding on who weighs them, and keeping their clothes on. Children asked for sensitive responses after the weighing and to decide when the weighing takes place.

Conclusions

Weighing is highly sensitive, with a great need for awareness and a weight-sensitive approach. These findings underline the requirement for training of health professionals in weight-sensitive assessment and treatment.

Practical implications

These findings provide important instructions for clinicians on weight-sensitive weighing and offer suggestions to improve the practice of weighing.

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.