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营养师咨询风格的变化及其对社区生活方式改变项目中患者体重变化的影响。

Nutritionist's variation in counseling style and the effect on weight change of patients attending a community based lifestyle modification program.

机构信息

Department of Medicine & Therapeutics, Chinese University of Hong Kong, Hong Kong, China.

出版信息

Int J Environ Res Public Health. 2010 Feb;7(2):413-26. doi: 10.3390/ijerph7020413. Epub 2010 Feb 2.

DOI:10.3390/ijerph7020413
PMID:20616982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2872277/
Abstract

Information concerning the nature of nutritionist-patient relationships is very limited. This qualitative and quantitative study examined nutritionist's skills, attributes, and beliefs towards nutrition counseling during a lifestyle modification intervention program, and whether this affected the patient's weight outcome. 24 nutrition consultations were observed during the program and the nutritionists were interviewed for their perception on practice (n = 4). A statistically significant difference was observed between the nutritionists in regard to patient's weight change after adjustment for age and baseline weight (p < 0.001). Key nutritionist skills identified that influenced weight outcome were meticulous investigation of the underlying obesity cause, identification of the subject's stage of change, and psychological support.

摘要

关于营养师-患者关系性质的信息非常有限。这项定性和定量研究考察了营养师在生活方式改变干预计划期间对营养咨询的技能、属性和信念,以及这些因素是否会影响患者的体重结果。在该计划期间观察了 24 次营养咨询,并对营养师的实践感知进行了访谈(n = 4)。在调整年龄和基线体重后,观察到营养师在患者体重变化方面存在显著差异(p < 0.001)。确定影响体重结果的关键营养师技能包括对肥胖根本原因的细致调查、确定受试者的改变阶段,以及心理支持。

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本文引用的文献

1
Clients' experiences of a community based lifestyle modification program: a qualitative study.社区生活方式干预项目中客户的体验:一项定性研究。
Int J Environ Res Public Health. 2009 Oct;6(10):2608-22. doi: 10.3390/ijerph6102608. Epub 2009 Oct 2.
2
How does communication heal? Pathways linking clinician-patient communication to health outcomes.沟通如何促进康复?连接临床医生与患者沟通和健康结果的途径。
Patient Educ Couns. 2009 Mar;74(3):295-301. doi: 10.1016/j.pec.2008.11.015. Epub 2009 Jan 15.
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Effectiveness of a lifestyle modification programme in weight maintenance in obese subjects after cessation of treatment with Orlistat.奥利司他治疗停止后,生活方式改变计划对肥胖受试者体重维持的有效性。
J Eval Clin Pract. 2007 Dec;13(6):853-9. doi: 10.1111/j.1365-2753.2006.00758.x.
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Lifestyle modification in the treatment of obesity: an educational challenge and opportunity.生活方式改变在肥胖治疗中的应用:一项教育挑战与机遇。
Clin Pharmacol Ther. 2007 May;81(5):776-9. doi: 10.1038/sj.clpt.6100155. Epub 2007 Mar 14.
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Effect of a community-based weight management program on weight loss and cardiovascular disease risk factors.一项基于社区的体重管理计划对体重减轻及心血管疾病风险因素的影响。
Obesity (Silver Spring). 2006 Feb;14(2):280-8. doi: 10.1038/oby.2006.36.
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Helping individuals to help themselves.帮助个人自助。
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Systematic review: an evaluation of major commercial weight loss programs in the United States.系统评价:对美国主要商业减肥项目的评估。
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