van Dillen S M E, Hiddink G J
Department of Communication Management, Wageningen University, Wageningen, The Netherlands.
Fam Pract. 2008 Dec;25 Suppl 1:i87-92. doi: 10.1093/fampra/cmn061. Epub 2008 Sep 19.
In recent years, we have investigated both patients' and family doctors' communicative characteristics towards nutrition communication in general practice with several qualitative and quantitative studies. A sound comparison of the survey results between both conversation partners has not been made before.
The aim of the present study was to put together data obtained by earlier studies for the first time in order to make comparisons of patients' and family doctors' communicative characteristics regarding nutrition communication.
In The Netherlands, 603 patients completed a face-to-face interview-assisted questionnaire (65% response rate) and 267 family doctors completed a questionnaire (45% response rate).
When comparing communicative characteristics, patients stronger believed that nutrition was an influence on health than family doctors. They also attributed a greater role to personal hygiene, stress and heredity, while family doctors were more convinced of the role of alcohol use and smoking on health. Patients more often rated their own nutrition knowledge as good than family doctors. In contrast, family doctors showed higher interest in nutrition and nutrition information than patients. As a result, a collinear model for family doctors and nutrition communication towards patients was provided.
Significant differences between patients and family doctors were found for several communicative characteristics towards nutrition communication. It is important that family doctors become convinced that patients perceive them as a reliable and expert source of nutrition information. It is recommended that family doctors raise nutrition awareness among patients. Finally, we advise family doctors to pay attention to nutrition communication styles.
近年来,我们通过多项定性和定量研究,对患者和家庭医生在全科医疗中进行营养沟通的交流特点进行了调查。此前尚未对这两个对话伙伴的调查结果进行合理比较。
本研究的目的是首次整合早期研究获得的数据,以便比较患者和家庭医生在营养沟通方面的交流特点。
在荷兰,603名患者完成了一份由面对面访谈辅助的问卷(回复率65%),267名家庭医生完成了一份问卷(回复率45%)。
在比较交流特点时,患者比家庭医生更坚信营养对健康有影响。他们还认为个人卫生、压力和遗传的作用更大,而家庭医生更确信饮酒和吸烟对健康的影响。患者比家庭医生更常认为自己的营养知识良好。相比之下,家庭医生对营养和营养信息的兴趣高于患者。结果,提供了一个针对家庭医生和向患者进行营养沟通的共线模型。
在营养沟通的几个交流特点方面,患者和家庭医生之间存在显著差异。重要的是,家庭医生要确信患者将他们视为可靠的营养信息专家来源。建议家庭医生提高患者的营养意识。最后,我们建议家庭医生注意营养沟通方式。