Discipline of Nutrition and Dietetics, Faculty of Medical and Health Sciences, University of Auckland, 1142, New Zealand.
Menzies Health Institute Queensland, Griffith University, 4222, Australia.
Public Health. 2016 Nov;140:17-22. doi: 10.1016/j.puhe.2016.09.022. Epub 2016 Oct 13.
Nutrition is recognized as a strong factor influencing the health outcomes of patients with chronic disease. General practitioners (GPs) require nutrition knowledge and skills to support patients to have healthy dietary behaviours.
To investigate New Zealand GP registrars' provision of nutrition advice using patient scenarios.
A cross-sectional study design targeted GP registrars to investigate the nutrition care they provided to patients.
Fourty-seven GP registrars completed a survey at a training event. The survey included patient scenarios. Respondents were asked to provide nutrition advice for each scenario, in line with best practice guidelines. Responses to each scenario were scored based on a panel of nutrition experts. Regression analysis was used to compare the scores to participants' previously reported confidence to provide nutrition care.
Seventeen male (36.2%) and thirty female (63.8%) GP registrars completed the survey, giving a response rate of 92.2%. GP registrars scored a mean of 7.9 ± 0.2 out of 15 for recall of dietary strategies with the scenarios. There was no association between GP registrars' scenario scores and their confidence to provide nutrition care.
An evidence-practice gap exists for New Zealand GP registrars' confidence to provide nutrition care, and their knowledge of evidence-based nutritional guidelines to support patients to have healthy dietary behaviours. A better understanding of the determinants of this disparity is required in order to support optimal nutrition care by GPs.
营养被认为是影响慢性病患者健康结果的一个重要因素。全科医生（GP）需要具备营养知识和技能，以支持患者养成健康的饮食习惯。
通过患者情景调查新西兰 GP 住院医师提供营养建议的情况。
本研究采用横断面设计，针对 GP 住院医师进行调查，以了解他们为患者提供的营养护理情况。
47 名 GP 住院医师在一次培训活动中完成了一项调查。该调查包括患者情景。要求受访者根据最佳实践指南为每个情景提供营养建议。根据一组营养专家对每个情景的评分。回归分析用于比较这些评分与参与者先前报告的提供营养护理的信心。
17 名男性（36.2%）和 30 名女性（63.8%）GP 住院医师完成了调查，应答率为 92.2%。GP 住院医师对情景中膳食策略的回忆平均得分为 7.9±0.2 分（满分 15 分）。GP 住院医师的情景评分与他们提供营养护理的信心之间没有关联。
新西兰 GP 住院医师在提供营养护理方面的信心与其掌握基于证据的营养指南以支持患者养成健康饮食习惯的知识之间存在差距。需要更好地了解这种差异的决定因素，以便支持 GP 提供最佳的营养护理。
