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首页> 外文期刊>The journal of forensic psychiatry & psychology >A right to be fat? A survey of weight management in medium secure units
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A right to be fat? A survey of weight management in medium secure units

机译：有发胖的权利吗？中型安全单位的体重管理调查

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摘要

Obesity is a significant problem among patients in mental health services, with implications for morbidity and mortality. This is particularly challenging in forensic services where patients often remain in hospital for prolonged periods, may be on higher doses of medication and often have less access to exercise opportunities. This survey was conducted to investigate weight management strategies in medium secure units (MSUs) and to identify potential barriers to effective prevention and management of obesity. More than half of the MSUs do not currently have an effective strategy for managing obesity, although most have a reasonable range of weight management options available. There is dissonance among clinicians about the ethics of restricting patients' access to food in order to reduce obesity. Whilst more coercive strategies may prove challenging in terms of maintaining the balance with human rights, it is clear that hospitals need to rigorously pursue education and health promotion.
机译：肥胖是精神卫生服务患者中的重要问题，对发病率和死亡率具有影响。这在法医服务中尤其具有挑战性，在法医服务中，患者通常会长期留在医院中，可能需要服用更高剂量的药物，并且经常无法获得锻炼机会。进行这项调查的目的是调查中等安全单位（MSU）的体重管理策略，并确定有效预防和管理肥胖症的潜在障碍。目前，超过一半的MSU没有有效的肥胖管理策略，尽管大多数都提供合理的体重管理方案。在临床医生之间，关于限制患者获得食物以减少肥胖的道德观念存在分歧。尽管在维持人权平衡方面可能采取更具强制性的策略可能具有挑战性，但显然医院需要严格执行教育和健康促进措施。

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