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首页> 外文期刊>Journal of advanced nursing >Obesity in people with intellectual disabilities: the impact of nurse-led health screenings and health promotion activities.
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Obesity in people with intellectual disabilities: the impact of nurse-led health screenings and health promotion activities.

机译：智障人士肥胖：由护士领导的健康检查和健康促进活动的影响。

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BACKGROUND: Obesity appears to be more common among people with intellectual disabilities, with few studies focusing on achieving weight reduction. AIM: Firstly, to follow-up people identified as overweight and obese following special health screening clinics and to determine the actions taken. Secondly, to evaluate the impact of health promotion classes on participants' weight loss. METHODS: A clinic led by two learning disability nurses was held for all people aged 10 years and over (n = 464) who attended special services within the area of one Health and Social Services Trust in Northern Ireland. In a second study, the nurses organized health promotion classes for 20 people over a 6- or 8-week period. FINDINGS: The health screen identified 64% of adults and 26% of 10-19-year olds as being overweight or obese. Moreover, those aged 40-49 years who were obese had significantly higher levels of blood pressure. However, information obtained from a follow-up questionnaire sent after 3 months suggested that of the 122 people identified for weight reduction, action had been taken for only 34% of them and only three were reported to have lost weight. The health promotion classes, however, led to a significant reduction in weight and body mass index scores. CONCLUSIONS: Health screening per se has limited impact on reducing obesity levels in this client group. Rather, health personnel such as general practitioners, nurses and health promotion staff need to work in partnership with service staff, carers and people with intellectual disabilities to create more active lifestyles.
机译：背景：肥胖症在智障人士中似乎更为普遍，很少有研究致力于减轻体重。目的：首先，对经过特殊健康检查诊所识别为超重和肥胖的人进行随访，并确定所采取的措施。其次，评估健康促进班对参与者减肥的影响。方法：为所有10岁及以上（n = 464）在北爱尔兰的一个健康和社会服务信托基金范围内参加特殊服务的所有人开设了一个由两名学习障碍护士领导的诊所。在第二项研究中，护士在6周或8周的时间内为20人组织了健康促进班。调查结果：健康检查发现64％的成年人和26％的10-19岁者超重或肥胖。此外，肥胖的40-49岁人群的血压水平明显更高。但是，从3个月后发送的后续调查表中获得的信息表明，在确定的122个人中，只有34％的人采取了行动，据报道只有3人减肥。然而，健康促进班导致体重和体重指数得分显着下降。结论：健康筛查本身对降低该人群的肥胖水平影响有限。相反，全科医生，护士和健康促进人员等卫生人员需要与服务人员，护理人员和智障人士合作，以创造更加积极的生活方式。

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