初级保健体重管理咨询：医生和患者的观点。
Primary care weight management counseling: physician and patient perspectives.
作者信息
Martin Pamela Davis, Rhode Paula C, Howe John T, Brantley Phillip J
机构信息
Division of Primary Care Studies, Pennington Biomedical Research Center, USA.
出版信息
J La State Med Soc. 2003 Jan-Feb;155(1):52-6.
UNLABELLED
This paper examines the use of the Guide to Clinical Preventive Services for behavioral counseling for overweight patients in the primary care setting.
METHODS
Study 1 assessed counseling practices of family physicians with a 13-item physician questionnaire based on the Guide to Clinical Preventive Services. Study 2 assessed the perception of weight loss recommendations made to obese primary care patients attending a family practice clinic.
RESULTS
46% of the family physicians responded. The most common referrals were made to dieticians and exercise programs. The patient survey indicated that 80.3% had received weight loss recommendations, and 68.9% had received counseling on diet change or exercise.
CONCLUSIONS
This study found adequate rates of compliance with the Guide to Clinical Preventive Services. However, these results have highlighted the need to expand the guidelines to counsel patients more specifically with regard to weight loss recommendations and to focus on improving patient compliance and motivation.
未标注
本文探讨在初级保健环境中使用《临床预防服务指南》对超重患者进行行为咨询的情况。
方法
研究1使用基于《临床预防服务指南》的13项医生问卷评估家庭医生的咨询实践。研究2评估了对在家庭诊所就诊的肥胖初级保健患者所提出的减肥建议的认知情况。
结果
46%的家庭医生做出了回应。最常见的转诊是转介给营养师和运动项目。患者调查表明，80.3%的患者收到了减肥建议，68.9%的患者接受了饮食改变或运动方面的咨询。
结论
本研究发现对《临床预防服务指南》的依从率较高。然而，这些结果凸显了有必要扩大指南内容，以便更具体地就减肥建议为患者提供咨询，并着重提高患者的依从性和积极性。
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