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对澳大利亚初级保健卫生专业人员提供的营养护理的个人偏好探索。

An exploration of individuals' preferences for nutrition care from Australian primary care health professionals.

作者信息

Ball Lauren, Desbrow Ben, Leveritt Michael

机构信息

School of Public Health, Griffith University, Parklands Drive Gold Coast Campus, Southport, Qld 4222, Australia.

School of Human Movement Studies, University of Queensland, Brisbane, Qld 4072, Australia.

出版信息

Aust J Prim Health. 2014;20(1):113-20. doi: 10.1071/PY12127.

Abstract

This qualitative study explored individuals' preferences regarding the provision of nutrition care from Australian health professionals and the factors influencing their preferences. Thirty-eight individuals aged 53±8 years, living with a lifestyle-related chronic disease or risk factor for lifestyle-related chronic disease, participated in a semi-structured telephone interview. Participants were asked questions regarding their perceptions of which Australian health professionals provide nutrition care, their preferences for this care and the factors influencing their preferences. Interviews were transcribed verbatim and analysed thematically using a constant-comparison approach. General practitioners were the most recognised health professional that provided nutrition care to patients, followed by dietitians. General practitioners were regarded by most participants as the preferred provider of nutrition care because they were perceived to provide trustworthy and personalised nutrition care. Participants reported confusion regarding the professional differences between dietitians and nutritionists, and appealed for more information to be available to individuals that are considering consulting an Australian health professional for nutrition care. The findings of this study suggest that general practitioners are the preferred providers of nutrition care for many individuals living with a lifestyle-related chronic disease. Considering the increasing presentation of patients with lifestyle-related chronic disease in general practice, it is anticipated that the demand on general practitioners to provide nutrition care to patients will increase in the future.

摘要

这项定性研究探讨了个人对于澳大利亚医疗保健专业人员提供营养护理的偏好以及影响这些偏好的因素。38名年龄在53±8岁、患有与生活方式相关的慢性病或存在与生活方式相关慢性病风险因素的个体参与了半结构化电话访谈。参与者被问及他们对哪些澳大利亚医疗保健专业人员提供营养护理的看法、他们对这种护理的偏好以及影响其偏好的因素。访谈内容逐字记录,并采用持续比较法进行主题分析。全科医生是最被认可的为患者提供营养护理的医疗保健专业人员,其次是营养师。大多数参与者认为全科医生是营养护理的首选提供者,因为他们被认为能提供可靠且个性化的营养护理。参与者表示对营养师和营养学家之间的专业差异感到困惑,并呼吁为那些考虑向澳大利亚医疗保健专业人员咨询营养护理的个人提供更多信息。这项研究的结果表明,对于许多患有与生活方式相关慢性病的个体而言,全科医生是营养护理的首选提供者。鉴于全科医疗中患有与生活方式相关慢性病的患者数量不断增加,预计未来全科医生为患者提供营养护理的需求将会上升。

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