关键词: COVID‐19 digital obesity outpatient recommendations weight management

来  源:   DOI:10.1111/jhn.13346

Abstract:
BACKGROUND: The COVID-19 pandemic put unprecedented pressure on weight management services. These services were required to adapt to continue to provide care for people living with obesity. This study sought to develop consensus recommendations on the best practice solutions adopted by weight management services in the United Kingdom during the COVID-19 pandemic.
METHODS: This study utilised a semi-structured interview and a modified Delphi methodology to develop a consensus of best practice recommendations identified by specialist weight management services during the pandemic.
RESULTS: Twenty-three healthcare professionals working in weight management service across the United Kingdom participated in the study. Analysis of interview transcripts identified four key thematic domains: outpatient, patient education and support, perioperative care and team working. Of the initial 43 unique recommendations, 30 reached consensus agreement. Outpatient recommendations focused on communication strategies, patient self-monitoring and remote patient tracking. Patient education and support recommendations addressed the development of online educational resources and support groups. Perioperative care recommendations emphasised case prioritisation, waiting list support and postoperative care. Team working recommendations targeted the use of digital collaboration tools and strategies for effective teamwork.
CONCLUSIONS: Developing consensus recommendations on best practice is a critical step for weight management and outpatient services to achieve higher standards of care. These recommendations provide a springboard for departmental discussions, paving the way for improved experiences for individuals living with obesity as they progress along their weight management journey.
摘要:
背景:COVID-19大流行给体重管理服务带来了前所未有的压力。需要这些服务来适应继续为肥胖患者提供护理。这项研究旨在就COVID-19大流行期间英国体重管理服务机构采用的最佳实践解决方案提出共识建议。
方法:本研究利用半结构化访谈和改良的Delphi方法,就大流行期间由专业体重管理服务机构确定的最佳实践建议达成共识。
结果:英国23名从事体重管理服务的医疗保健专业人员参与了这项研究。对访谈笔录的分析确定了四个关键主题领域:门诊,患者的教育和支持,围手术期护理和团队合作。在最初的43项独特建议中,30达成共识。门诊建议侧重于沟通策略,患者自我监测和远程患者跟踪。患者教育和支持建议涉及在线教育资源和支持小组的开发。围手术期护理建议强调病例优先次序,等待名单支持和术后护理。团队工作建议的目标是使用数字协作工具和策略来实现有效的团队合作。
结论:制定最佳实践的共识建议是体重管理和门诊服务实现更高标准护理的关键步骤。这些建议为部门讨论提供了一个跳板,为肥胖患者在体重管理过程中取得进展,为他们改善体验铺平了道路。
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