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西班牙裔患者对医生在肥胖管理中角色的看法。

Hispanic Patient Perspectives of the Physician's Role in Obesity Management.

作者信息

Ragsdale Colton, Wright Justin, Shokar Gurjeet, Salaiz Rebekah, Shokar Navkiran K

机构信息

Department of Pediatrics, Greenville Hospital System, University of South Carolina, 701 Grove Road, Greenville, SC 29601, USA.

Department of Family and Community Medicine, Texas Tech University Health Sciences Center, El Paso, Paul L Foster School of Medicine, 9849 Kenworthy St. El Paso, TX 79924, USA.

出版信息

J Clin Med Res. 2017 Feb;9(2):170-175. doi: 10.14740/jocmr2868w. Epub 2016 Dec 31.

Abstract

BACKGROUND

Little is known concerning Hispanic patients' perceptions about the role of the physician in obesity management. This study seeks to describe the perspectives of Hispanic patients toward weight loss, and what they believe their doctor's role should be in the management of obesity.

METHODS

A cross-sectional study utilizing semi-structured interviews was conducted in a university-based family medicine clinic. Open-ended questions explored beliefs about the relationship between weight and health, previous weight loss experience, perceptions about the role of the physician in weight loss, past experiences with their physician, and preferences for how a physician could help facilitate weight loss. The free recall listing technique was used to elicit responses. Common themes were identified by a group coding process.

RESULTS

Patients were open to discussion from physicians concerning weight loss but many had not been approached. They wanted assistance from their doctors in the form of dietician referrals, specific weight loss goals, and encouragement. Patients' knowledge about the implications of excess weight on health was lacking.

CONCLUSION

Hispanic patients want more help and advice from their doctors. General knowledge of the health implications of obesity was lacking, indicating a need for more health education by the healthcare team.

摘要

背景

关于西班牙裔患者对医生在肥胖管理中作用的看法,我们知之甚少。本研究旨在描述西班牙裔患者对减肥的看法,以及他们认为医生在肥胖管理中应扮演的角色。

方法

在一家大学附属的家庭医学诊所进行了一项采用半结构式访谈的横断面研究。开放式问题探讨了关于体重与健康关系的信念、以往的减肥经历、对医生在减肥中作用的看法、过去与医生的经历,以及对医生如何帮助促进减肥的偏好。采用自由回忆列举技术获取回答。通过分组编码过程确定共同主题。

结果

患者愿意与医生讨论减肥问题,但许多人此前并未得到相关讨论。他们希望医生以转介营养师、设定具体减肥目标和给予鼓励的形式提供帮助。患者缺乏超重对健康影响的相关知识。

结论

西班牙裔患者希望从医生那里获得更多帮助和建议。他们缺乏肥胖对健康影响的一般知识,这表明医疗团队需要开展更多健康教育。

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Solving the obesity epidemic: voices from the community.解决肥胖流行问题:来自社区的声音。
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