超重和肥胖患者体质量控制促进和障碍因素的系统评价：基于实施性研究综合框架

doi:10.16460/j.issn1008-9969.2024.23.066

摘要/Abstract

摘要： 目的系统分析超重和肥胖患者体质量控制的促进和障碍因素,为促进体质量管理干预提供参考。方法从Pubmed、中国知网等8个中英文数据库检索超重和肥胖患者进行体质量控制影响因素相关文献,采用混合方法评估工具对文献质量进行评价,以实施性研究综合框架（Consolidated Framework for Implementation Research, CFIR）为指导对体质量控制障促因素进行分析。结果共纳入39项研究,其中中文文献16项,英文文献23项,共包含16项定量研究、19项定性研究和4项混合性研究,涉及128 134例肥胖患者、1 527名医生和护士,14名营养师和1 305名医学生。通过分析,提取出44项促进因素和52项障碍因素。结论超重和肥胖患者体质量控制受较多因素的影响,根据CFIR框架进行分析,较多的障碍因素集中于内部因素和个体特征,建议在体质量管理实践和研究中应当根据障碍因素制定针对性的干预策略,以促进体质量控制证据的有效实施。

关键词: 超重和肥胖, 体质量控制, 障碍因素, 促进因素, CFIR

中图分类号:

R473.57

魏小雪, 欧阳丰, 刘杨, 杜庆锋. 超重和肥胖患者体质量控制促进和障碍因素的系统评价：基于实施性研究综合框架[J]. 护理学报, 2024, 31(23): 66-72.

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