Résumé
Les cliniciens et les patients sont confrontés à de nombreux obstacles lorsqu’il s’agit de parler de l’obésité. La plupart découlent d’un manque de formation sur les traitements de l’obésité fondés sur des données probantes, de préjugés liés au poids et de préjugés intériorisés. Les cliniciens sont débordés entre les contraintes de temps, les problèmes de prise en charge médicale, le manque de compétences en matière de conseils spécifiques à l’obésité et la crainte de mettre les patients mal à l’aise. Ces derniers rechignent à aborder le sujet en raison d’expériences antérieures avec des cliniciens ayant fait preuve de préjugés et peu au fait des options de traitement efficaces. Les préjugés intériorisés contribuent à ancrer chez les patients l’idée que leur poids est un problème qu’il leur revient de résoudre. Les expériences passées dans des environnements de soins de santé où ils n’ont pas trouvé un accueil rassurant ou chaleureux sont également un facteur de dissuasion. Aussi grands que soient ces obstacles, ils peuvent être surmontés. Pour ce faire, il faut éduquer les patients à l’obésité, utiliser des stratégies de conseil efficaces sur la durée et veiller à ce que l’environnement de soins soit sécurisant et accueillant.
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Christensen, S. (2024). Les obstacles à la discussion sur le poids. In: Guide du clinicien pour aborder l'obésité avec les patients. Springer, Cham. https://doi.org/10.1007/978-3-031-37335-0_4
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DOI: https://doi.org/10.1007/978-3-031-37335-0_4
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