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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Retrospective chart review for obesity and associated interventions among rural Mexican-American adolescents accessing healthcare services
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Retrospective chart review for obesity and associated interventions among rural Mexican-American adolescents accessing healthcare services

机译：回顾性图表审查肥胖和获得医疗服务的墨西哥裔美国乡村青少年的干预措施

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Purpose: To report a retrospective analysis of data routinely collected in the course of healthcare services at a rural health clinic and to assess obesity incidence and associated interventions among rural Mexican-American adolescents. Data sources: Two hundred and twelve charts reviewed; 98 (46.2%) males and 114 (53.8%) females. Data extracted included Medicaid exams conducted at the clinic within 5 years. Equal overweight or obese (n = 105, 49.5%), versus normal BMI categorizations (n =107, 50.5%) documented overall and by gender. Female obesity higher (25.4%) than national norms (17.4%); male rates (25.5%) were within national norm. Interventions provided by nurse practitioners (94%) for 34.8%-80% of overweight/obese had limited follow-up (4%). Obesity incidence markedly increased between 13 and 18 years of age without associated interventions; 51.4%-75.6% without interventions. Conclusions: Obesity is a healthcare problem among rural Mexican-American adolescents accessing care at the rural health clinic. Obesity intervention and follow-up was suboptimal within this setting. Rural and ethnic minority adolescents experience health disparities concerning obesity prevalence and remote healthcare access. Implications: Obesity prevention and treatment during adolescence is a national health priority given physiologic and psychological tolls on health and potential for obesity into adulthood. Obesity assessment and translation of evidence-based interventions for rural Mexican-American adolescents at rural health clinics is implicated.
机译：目的：对农村卫生诊所在医疗服务过程中常规收集的数据进行回顾性分析，并评估肥胖的发生率和墨西哥裔美国农村青少年的干预措施。数据来源：审查了212张图表;男性为98（46.2％），女性为114（53.8％）。提取的数据包括5年内在诊所进行的医疗补助检查。总体和按性别记录的体重超重或肥胖（n = 105，49.5％）与正常BMI分类（n = 107，50.5％）相比。女性肥胖（25.4％）高于国家标准（17.4％）;男性比例（25.5％）在国家标准之内。执业护士（94％）对超重/肥胖的34.8％-80％的干预措施随访有限（4％）。在没有相关干预的情况下，肥胖发生率在13至18岁之间显着增加; 51.4％-75.6％，无需干预。结论：肥胖是在乡村医疗诊所就诊的墨西哥裔墨西哥乡村青少年的医疗保健问题。在这种情况下，肥胖干预和随访并不理想。农村和少数族裔青少年在肥胖发生率和远程医疗保健方面存在健康差异。启示：鉴于对健康的生理和心理影响以及成年后肥胖的可能性，青春期肥胖症的预防和治疗是国家卫生的重点。涉及肥胖评估和农村医疗诊所针对墨西哥裔美国青少年的循证干预措施的翻译。

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