Reid V, Barnes E, Daly L
Clinical Specialist Dietitian, Department of Preventive Medicine/Health Promotion, St Vincent's University Hospital, Dublin, Republic of Ireland.
J Hum Nutr Diet. 2002 Aug;15(4):281-6. doi: 10.1046/j.1365-277x.2002.00371.x.
To assess the feasibility of recruiting outpatients referred for cholesterol lowering advice to attend a 1-h evening information session provided by a hospital dietitian and to evaluate the service.
A Cholesterol Information Session was held on one evening each month between April and September 2000. Patients referred to the Nutrition and Dietetic Service for cholesterol lowering advice were sent appointments for these sessions by post instead of a one-to-one daytime appointment with the dietitian. At the session, the dietitian explained what cholesterol is and gave advice about the healthy eating and lifestyle changes needed to control it. Video material and literature were used to support verbal information. Questions were encouraged throughout the session.
Thirty-four patients were sent appointments. Twenty-seven (79%) attended, 10 of whom were accompanied by a spouse/partner/carer/family member. All patients who attended completed evaluation forms. There was a high level of satisfaction with the sessions. Twenty-six patients (96%) said they liked the way the session was run and found the advice and videos helpful. Twenty-five patients (93%) preferred the evening appointment to a day time one. Patients who attended with a spouse/partner/carer/family member indicated it was helpful to them and the accompanying person. Feedback through patient comments was positive. The seven patients (21%) who did not attend the sessions made contact with the dietetic service.
As a result of the positive outcome of the evaluation, the Cholesterol Information Session is continuing as a service to patients. It provides a facility outside the usual hours of outpatient services and can readily accommodate accompanying people. The information session uses the group format, which may be applicable to other specialist areas of the Nutrition and Dietetic service in the future, such as diabetes management.
评估招募因接受降胆固醇建议前来就诊的门诊患者参加由医院营养师提供的为时1小时的晚间信息交流会的可行性,并对该服务进行评估。
在2000年4月至9月期间,每月的一个晚上举办一次胆固醇信息交流会。被转介至营养与饮食服务部门接受降胆固醇建议的患者通过邮寄方式收到这些交流会的预约通知,而非与营养师进行一对一的日间预约。在交流会上,营养师解释了胆固醇是什么,并就控制胆固醇所需的健康饮食和生活方式改变提供了建议。使用视频材料和宣传资料辅助口头讲解。在整个交流会上鼓励患者提问。
34名患者收到了预约通知。27名(79%)患者参加了交流会,其中10名患者由配偶/伴侣/护理人员/家庭成员陪同。所有参加的患者都填写了评估表。患者对交流会的满意度很高。26名患者(96%)表示他们喜欢交流会的举办方式,认为建议和视频很有帮助。25名患者(93%)更喜欢晚间预约而非日间预约。与配偶/伴侣/护理人员/家庭成员一同参加的患者表示这对他们和陪同人员都有帮助。通过患者意见反馈是积极的。7名未参加交流会的患者(21%)与饮食服务部门取得了联系。
由于评估结果良好,胆固醇信息交流会作为一项患者服务将继续开展。它提供了门诊服务常规时间之外的便利,并且能够轻松容纳陪同人员。信息交流会采用小组形式,未来可能适用于营养与饮食服务的其他专业领域,如糖尿病管理。