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.
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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