Nursing interventions with people with obesity in Primary Health Care: an integrative review

Braga, Vanessa Augusta Souza; Jesus, Maria Cristina Pinto de; Conz, Claudete Aparecida; Tavares, Renata Evangelista; Silva, Marcelo Henrique da; Merighi, Míriam Aparecida Barbosa

doi:10.1590/s1980-220x2017019203293

Cited by 11 publications

(11 citation statements)

References 35 publications

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“…In addition to these strategies, an integrative review about obesity interventions by nurses in Primary Health Care shows that interventions based on motivational techniques through the internet directed at teenagers, associated with conventional counselling performed by nurses, may lead to better indicators of weight loss than isolatedly. Phone calls have also led to a high overall satisfaction in adult individuals, showing the importance of communication directed at each age group and emphasizing that actions should be directed at individuals, families, and communities (30) . This study's limitations are related to type of study, considering the fact that variables were collected in a single moment, making it difficult to establish a temporal relation between the events and to consider whether the relation between them was causal or not.…”

Section: Discussionmentioning

confidence: 99%

Ansiedade, qualidade do sono e compulsão alimentar em adultos com sobrepeso ou obesidade

Fusco

Amancio

Pancieri

et al. 2020

Rev. esc. enferm. USP

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RESUMO Objetivo: Analisar a relação da ansiedade com a compulsão alimentar e a qualidade do sono em adultos com sobrepeso ou obesidade. Método: Estudo transversal, realizado entre maio de 2015 e janeiro de 2017, com amostra intencional composta por indivíduos de ambos os sexos, alfabetizados, com idade entre 20 e 59 anos, que apresentavam índice de massa corporal maior ou igual a 25 kg/m2. Utilizaram-se o Inventário de Ansiedade Traço-Estado, Escala de Compulsão Alimentar Periódica e Questionário de Padrão do Sono de Pittsburgh. Adotaram-se o coeficiente de correlação de Pearson ou Spearman na análise dos dados, de acordo com a distribuição destes. Resultados: A amostra foi constituída por 130 indivíduos. A amostra geral e os adultos jovens apresentaram correlação positiva entre os escores de ansiedade e os de compulsão alimentar (p=0,0011) e qualidade do sono (p=0,0081). Adultos com 45 anos ou mais apresentaram relação inversa da idade com a ansiedade (p=0,0003). Conclusão: A amostra geral e adultos jovens que apresentaram maior estado de ansiedade tinham maiores índices de compulsão alimentar e pior qualidade do sono. Contrariamente, nos adultos de meia-idade, quanto maior a idade, menor o escore de ansiedade. Registro Brasileiro de Ensaios Clínicos: n° RBR-47kfxh

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Section: Discussionmentioning

confidence: 99%

Ansiedade, qualidade do sono e compulsão alimentar em adultos com sobrepeso ou obesidade

Fusco

Amancio

Pancieri

et al. 2020

Rev. esc. enferm. USP

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“…Atualmente, a Atenção Primária à Saúde (APS), tem papel fundamental na gestão do cuidado das pessoas obesas ou com risco para obesidade do território adstrito, com a atuação de suas equipes multidisciplinares e, em destaque o papel do enfermeiro no tratamento e acompanhamento dos pacientes obesos (Braga et al, 2017). Neste sentido, grande parte dos Research, Society and Development, v. 10, n. 1, e49310112219, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i1.12219 tratamentos da obesidade se dá por uma abordagem sistêmica com estratégias individuais e ambientais (Bray et al, 2016).…”

Section: Introductionunclassified

Monitoramento remoto para o enfrentamento da obesidade: experiências na enfermagem

Christinelli

Silva

Westphal

et al. 2021

RSD

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Introdução: A obesidade é uma doença crônica complexa que ameaça a saúde pública de muitos países, sendo considerada como epidemia mundial do século XXI pela Organização Mundial da Saúde (OMS), condicionada principalmente pelo perfil alimentar e de atividade física. Objetivo: Investigar quais são as principais ferramentas utilizadas para o monitoramento remoto de indivíduos com obesidade pela equipe de enfermagem e analisá-las. Método: Revisão integrativa realizada em 2020. A estratégia de busca foi de estudos em língua inglesa e portuguesa, publicados entre abril de 2014 a abril de 2020, estruturada com os descritores: Telenfermagem; Telemonitoramento; Tecnologia Biomédica; Obesidade e enfermagem. Resultados: Foram selecionados 6 estudos para análise. As ferramentas utilizadas pelos estudos para realização do monitoramento remoto de indivíduos obesos foram contatos telefônicos, aplicativo celular, envio de e-mails, e envio de notificações via push. Conclusão: Intervenções digitais baseadas na Web são eficazes em termos de perda de peso, gordura corporal, circunferência abdominal e IMC, em estudos com a duração de seis meses a 12 meses. Além de intervir nos hábitos de vida da população e estabelecer melhor qualidade de vida.

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“…However, there are obstacles to overcome to address obesity in PHCC. A review of studies about physician and nurses' approach to overweight and obese patients showed that health advice is more likely to be given when Body mass index BMI increases and can be of poor quality due to educational barriers and availability of resources [25,26]. On the other hand, con dence in communication skills and the ability to create bonds between the nurse and the patient are important factors that facilitate approaching people suffering from obesity.…”

Section: Introductionmentioning

confidence: 99%

Primary Care Nurses' Perceptions and Experiences of Patients Being Overweight, as well as Visions and Attitudes About Working with Lifestyle Issues: A Qualitative Interview Study

Ewe

Hildingh

Månsson

et al. 2020

Preprint

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Background: A primary health care centre (PHCC) is often the first point of contact for overweight patients, and nurses play key roles in overweight and lifestyle management. Since overweight is an increasing problem and a challenge for PHCCs to handle, it is important to describe primary care nurses' perceptions and experience with overweight problems, as well as their visions and attitudes regarding working with lifestyle issues. Methods: This was a qualitative interview study. Thirteen nurses in PHCCs in the southwest of Sweden were interviewed with a semi-structured, face-to-face guide. The interviews were analysed using qualitative content analysis. Results: The nurses had a wish and a willingness to work more with overweight and lifestyle issues than they currently did due to a lack of priority, resources, time and education. They experienced overweight as an increasing problem and felt that society should do more to stop its development. They considered that meeting with the patient was the most important task at PHCCs. How the conversations were structured without pointers and in an individualized manner was crucial for weight management to strengthen the patients’ motivation to change. The nurses experienced that how to use and implement guidelines was unclear. They also asked for a national forum in Sweden for nurses working with overweight and lifestyle issues with lectures about the latest research in the area. Conclusions: The nurses considered overweight to be a complex condition that requires a holistic approach with individualized care. To make this approach possible, a wider range of efforts should be offered to patients through more group meetings, lectures, and digital solutions. The development of a multidisciplinary team with different professions working with this patient group was the nurses’ dream scenario. They wished for a preventive reception for pre-diabetic patients to save costs and suffering. Informing parents earlier about a healthy lifestyle at childcare centres in PHCCs and offering health examinations to promote preventive work were seen as good ideas. Implementing these suggestions in working with overweight and lifestyle issues could be a discussion among the management in PHCCs and for the decision makers in the region.

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Nursing interventions with people with obesity in Primary Health Care: an integrative review

Cited by 11 publications

References 35 publications

Ansiedade, qualidade do sono e compulsão alimentar em adultos com sobrepeso ou obesidade

Ansiedade, qualidade do sono e compulsão alimentar em adultos com sobrepeso ou obesidade

Monitoramento remoto para o enfrentamento da obesidade: experiências na enfermagem

Primary Care Nurses' Perceptions and Experiences of Patients Being Overweight, as well as Visions and Attitudes About Working with Lifestyle Issues: A Qualitative Interview Study

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