Jones N, Furlanetto D L C, Jackson J A, Kinn S
Biological and Biomedical Sciences, School of Life Sciences, Glasgow Caledonian University, Glasgow, UK.
J Hum Nutr Diet. 2007 Oct;20(5):486-94. doi: 10.1111/j.1365-277X.2007.00810.x.
Although recommendations about the treatment of obesity have been well documented, there is little research into how obese individuals view the outcomes of dietary treatment. It has been suggested that patient involvement in evaluating treatment outcomes may help target issues to assist with the ongoing improvement of dietetic services. The aim of this qualitative study was to collect patients' views on the dietetic service, the treatment outcomes in terms of lifestyle change and the impact that attending the dietetic service had on their lives in order to improve dietetic treatment, and to assist in the selection of appropriate outcome measurements in the future.
Semi-structured interviews were conducted with 24 obese patients attending dietetic clinics in Ayrshire, West of Scotland for weight management (advice on healthy eating and physical activity to achieve an energy deficit). Patients' views were transcribed, grouped and coded using content analysis.
Views included the importance of attending the dietitian for support to achieve weight management and a need to 'feel accountable to someone'. Interviewees valued information provided regarding diet, physical activity, behavioural strategies and the risks of obesity. Patients described the impact of obesity on their lives and identified changes to their lifestyles and health since attending the dietitian. They also identified barriers to change, e.g. feeling frustrated and overwhelmed about the changes necessary.
This study extends the current knowledge of patients' views of their treatment outcomes, which may be important in helping dietitians devise appropriate patient-centred outcome measures. However, as this is a small sample, further long term research into a wider range of current and discharged patients' views is required.
尽管关于肥胖治疗的建议已有充分记录，但对于肥胖个体如何看待饮食治疗结果的研究却很少。有人提出，让患者参与评估治疗结果可能有助于找出问题，以促进饮食服务的持续改进。这项定性研究的目的是收集患者对饮食服务的看法、生活方式改变方面的治疗结果，以及参加饮食服务对他们生活的影响，以便改善饮食治疗，并协助未来选择合适的结果测量方法。
对24名在苏格兰西部艾尔郡饮食诊所接受体重管理（关于健康饮食和体育活动以实现能量 deficit 的建议）的肥胖患者进行了半结构化访谈。使用内容分析法对患者的观点进行转录、分组和编码。
观点包括找营养师寻求支持以实现体重管理的重要性，以及“需要对某人负责”的需求。受访者重视提供的有关饮食、体育活动、行为策略和肥胖风险的信息。患者描述了肥胖对他们生活的影响，并指出了自找营养师以来他们生活方式和健康的变化。他们还指出了改变的障碍，例如对必要的改变感到沮丧和不知所措。
本研究扩展了目前关于患者对其治疗结果看法的知识，这可能有助于营养师制定合适的以患者为中心的结果测量方法。然而，由于这是一个小样本，需要对更广泛的当前和已出院患者的观点进行进一步的长期研究。
