Meyer Samantha B, Coveney John, Ward Paul R
University of Waterloo, School of Health and Health System, 200 University Ave West, Waterloo, Ontario N2L 3G1, Canada.
BMC Fam Pract. 2014 Feb 4;15:25. doi: 10.1186/1471-2296-15-25.
Nutrition education for cardiovascular disease (CVD) management is not effective for all population groups. There is little understanding of the factors that hinder patients from adhering to dietary recommendations.
37 interviews were conducted with people living with CVD in Adelaide, Australia. Recruitment occurred via General Practitioner (GP) clinics and hospital cardiac rehabilitation programs. Participants were either receiving preventive treatment or active treatment for established CVD.
The volume and contradictory nature of dietary information were the most prominent barriers to making changes identified in interviews, especially by order participants.
Patients will seek out, or come into contact with information which contradicts advice from their GPs. The volume of information may lead them to resort to old and familiar habits. GPs play a valuable role in highlighting key take-home messages and reliable external sources of information. The findings have implications for GP practice given that lifestyle changes are a cost- and clinically-effective means of managing CVD.
用于心血管疾病（CVD）管理的营养教育并非对所有人群都有效。对于阻碍患者遵循饮食建议的因素，人们了解甚少。
对澳大利亚阿德莱德的心血管疾病患者进行了37次访谈。通过全科医生（GP）诊所和医院心脏康复项目招募参与者。参与者要么正在接受既定心血管疾病的预防性治疗，要么正在接受积极治疗。
饮食信息的数量和相互矛盾的性质是访谈中确定的做出改变的最突出障碍，尤其是老年参与者。
患者会寻找或接触到与全科医生建议相矛盾的信息。信息的数量可能导致他们诉诸于旧的和熟悉的习惯。全科医生在突出关键要点和可靠的外部信息来源方面发挥着重要作用。鉴于生活方式改变是管理心血管疾病的一种具有成本效益和临床效果的手段，这些发现对全科医生的实践具有启示意义。
