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对抗肥胖流行:社区药剂师关于肥胖管理的咨询

Combating the obesity epidemic: community pharmacists' counseling on obesity management.

作者信息

Dastani Homa B, Brown Carolyn M, O'Donnell Dannielle C

机构信息

Division of Pharmacy Administration, The University of Texas at Austin, Austin, TX, USA.

出版信息

Ann Pharmacother. 2004 Nov;38(11):1800-4. doi: 10.1345/aph.1E205. Epub 2004 Sep 21.

Abstract

BACKGROUND

Obesity is reaching an epidemic proportion in the US. Nearly two-thirds (64.7%) of US adults are overweight or obese. Given the myriad of issues related to the management of obesity, community pharmacists can facilitate weight loss among their patients.

OBJECTIVE

To identify factors that influence the frequency of counseling obese patients by community pharmacists.

METHODS

A mail survey was sent to a random sample of 400 Texas community pharmacists. The questionnaire collected information on frequency of counseling obese patients, perceived comfort level with counseling obese patients, perceived effectiveness of various obesity treatments, and perceived confidence in achieving positive outcomes as a result of counseling. Demographic information was also collected. Descriptive statistics, correlational analyses, and t-tests were used to examine the data.

RESULTS

A usable response rate of 35.2% was obtained (139 completed surveys out of 395 assumed delivered). Overall, pharmacists counseled patients rarely to sometimes about various aspects of obesity management. Correlational analyses revealed that pharmacists' frequency of counseling about obesity management was significantly and positively associated with their comfort level with counseling obese patients (r = 0.47; p < 0.001). Higher levels of confidence in achieving positive outcomes as a result of counseling (r = 0.39; p < 0.001) and higher levels of perceived effectiveness of obesity management options (r = 0.18; p = 0.037) were also significantly associated with higher levels of counseling about obesity management.

CONCLUSIONS

Obesity counseling by pharmacists was positively correlated with their perceived comfort with counseling obese patients, confidence in achieving positive outcomes, and effectiveness of obesity management options.

摘要

背景

肥胖在美国正达到流行程度。近三分之二(64.7%)的美国成年人超重或肥胖。鉴于与肥胖管理相关的众多问题,社区药剂师可以促进其患者的体重减轻。

目的

确定影响社区药剂师为肥胖患者提供咨询频率的因素。

方法

向400名得克萨斯州社区药剂师的随机样本发送邮件调查。问卷收集了有关为肥胖患者提供咨询的频率、对为肥胖患者提供咨询的感知舒适度、各种肥胖治疗方法的感知有效性以及对咨询后取得积极结果的感知信心等信息。还收集了人口统计学信息。使用描述性统计、相关性分析和t检验来检查数据。

结果

获得了35.2%的可用回复率(395份假定已送达的调查问卷中有139份完成调查)。总体而言,药剂师很少到有时会就肥胖管理的各个方面为患者提供咨询。相关性分析显示,药剂师对肥胖管理的咨询频率与其对为肥胖患者提供咨询的舒适度显著正相关(r = 0.47;p < 0.001)。对咨询后取得积极结果的更高信心水平(r = 0.39;p < 0.001)以及对肥胖管理选项的更高感知有效性水平(r = 0.18;p = 0.037)也与更高水平的肥胖管理咨询显著相关。

结论

药剂师的肥胖咨询与其对为肥胖患者提供咨询的感知舒适度、对取得积极结果的信心以及肥胖管理选项的有效性呈正相关。

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