Abstract：
OBJECTIVE: How to best care for larger-bodied patients is a complicated issue in modern medicine. The present study seeks to inform current medical practices to ensure the delivery of high-quality and evidence-based care through the examination of higher-weight patients\' experiences with weight-related care.
METHODS: Higher-weight patients (N = 34) completed semi-structured interviews about their experiences and recommendations for weight-related care. Interviews were coded by two independent coders and harmonized. Findings were organized into broad domains of 1) negative care experiences and 2) positive care experiences and recommendations.
RESULTS: Patients described a range of negative care experiences, including stigmatization from providers (e.g., rude, attacking, or insulting communication about weight), while concurrently expressing insufficient weight management support from providers. Positive care experiences and recommendations included patient-centered care (e.g., physician humility and empathy) and attending to the patient\'s weight, which conveyed concern for the patient.
CONCLUSIONS: Our findings reflect patients\' ambivalent attitudes toward weight-related care: while weight-focused provider communication can be highly stigmatizing, patients simultaneously desire more weight-management support from providers.
CONCLUSIONS: Providers who wish to move their practices from a weight-loss focus to one targeting healthy living should provide a rationale for these shifts to inform patients\' perceptions of high-quality care.
METHODS: Higher-weight patients (N = 34) completed semi-structured interviews about their experiences and recommendations for weight-related care. Interviews were coded by two independent coders and harmonized. Findings were organized into broad domains of 1) negative care experiences and 2) positive care experiences and recommendations.
RESULTS: Patients described a range of negative care experiences, including stigmatization from providers (e.g., rude, attacking, or insulting communication about weight), while concurrently expressing insufficient weight management support from providers. Positive care experiences and recommendations included patient-centered care (e.g., physician humility and empathy) and attending to the patient\'s weight, which conveyed concern for the patient.
CONCLUSIONS: Our findings reflect patients\' ambivalent attitudes toward weight-related care: while weight-focused provider communication can be highly stigmatizing, patients simultaneously desire more weight-management support from providers.
CONCLUSIONS: Providers who wish to move their practices from a weight-loss focus to one targeting healthy living should provide a rationale for these shifts to inform patients\' perceptions of high-quality care.
摘要：
目的：如何最好地照顾身体较大的患者是现代医学中的一个复杂问题。本研究旨在通过检查高体重患者的体重相关护理经验，为当前的医疗实践提供信息，以确保提供高质量和循证护理。
方法：高体重患者（N=34）完成了关于体重相关护理经验和建议的半结构化访谈。访谈由两名独立的编码员编码并进行协调。研究结果分为1）负面护理经验和2）正面护理经验和建议的广泛领域。
结果：患者描述了一系列负面护理经历，包括提供者的污名化(例如，粗鲁,攻击,或侮辱体重的交流)，同时表示提供者对体重管理的支持不足。积极的护理经验和建议包括以患者为中心的护理(例如，医师谦逊和同理心)，并关注患者的体重，传达了对病人的关心。
结论：我们的发现反映了患者对体重相关护理的矛盾态度：尽管以体重为中心的提供者沟通可能会引起高度污名化，患者同时希望从医疗服务提供者那里获得更多的体重管理支持.
结论：希望将其实践从减肥重点转向健康生活的提供者应该为这些转变提供理由，以告知患者对高质量护理的看法。
方法：高体重患者（N=34）完成了关于体重相关护理经验和建议的半结构化访谈。访谈由两名独立的编码员编码并进行协调。研究结果分为1）负面护理经验和2）正面护理经验和建议的广泛领域。
结果：患者描述了一系列负面护理经历，包括提供者的污名化(例如，粗鲁,攻击,或侮辱体重的交流)，同时表示提供者对体重管理的支持不足。积极的护理经验和建议包括以患者为中心的护理(例如，医师谦逊和同理心)，并关注患者的体重，传达了对病人的关心。
结论：我们的发现反映了患者对体重相关护理的矛盾态度：尽管以体重为中心的提供者沟通可能会引起高度污名化，患者同时希望从医疗服务提供者那里获得更多的体重管理支持.
结论：希望将其实践从减肥重点转向健康生活的提供者应该为这些转变提供理由，以告知患者对高质量护理的看法。
