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基层医疗中体重管理和心血管疾病风险降低的优先事项与偏好

Priorities and Preferences for Weight Management and Cardiovascular Risk Reduction in Primary Care.

作者信息

Nemeth Lynne S, Rice LaShanta J, Potts Maryellen, Melvin Cathy, Jefferson Melanie, Hughes-Halbert Chanita

机构信息

College of Nursing (Drs Nemeth and Potts), Department of Public Health Sciences (Drs Nemeth and Melvin), Department of Psychiatry and Behavioral Sciences (Drs Rice, Jefferson, and Hughes-Halbert), Hollings Cancer Center (Drs Rice, Melvin, Jefferson, and Hughes-Halbert), Medical University of South Carolina, Charleston; and Charleston Health Equity and Rural Outreach Innovation Center, Ralph H. Johnson Veteran's Administration Medical Center, Charleston, South Carolina (Dr Hughes-Halbert).

出版信息

Fam Community Health. 2017 Jul/Sep;40(3):245-252. doi: 10.1097/FCH.0000000000000155.

DOI:10.1097/FCH.0000000000000155
PMID:28525445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6027628/
Abstract

Implementing behavioral interventions for cardiovascular risk reduction and weight management is challenging in primary care. Primary care patients and providers were recruited for qualitative interviews to identify priorities and preferences for addressing weight management. Thematic analysis was used to identify relevant resources, barriers to lifestyle modification, health behavior change, and implementation of weight management strategies into care. Patients and providers prioritized increasing physical activity and healthy diets when managing chronic disease; and reported decreased patient motivation, knowledge, and limited organizational capacity and time among providers to deliver intensive interventions. Providers and patients disagreed regarding who owns accountability for weight management.

摘要

在初级保健中实施降低心血管风险和体重管理的行为干预具有挑战性。招募初级保健患者和提供者进行定性访谈,以确定解决体重管理问题的优先事项和偏好。采用主题分析来确定相关资源、生活方式改变的障碍、健康行为改变以及将体重管理策略纳入护理的实施情况。患者和提供者在管理慢性病时将增加身体活动和健康饮食列为优先事项;并报告患者积极性下降、知识不足,以及提供者提供强化干预的组织能力和时间有限。提供者和患者在体重管理的责任归属问题上存在分歧。

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本文引用的文献

1
Practical Opportunities for Healthy Diet and Physical Activity: Relationship to Intentions, Behaviors, and Body Mass Index.健康饮食和身体活动的实际机会:与意向、行为和身体质量指数的关系。
Ann Fam Med. 2016 Mar;14(2):109-16. doi: 10.1370/afm.1886.
2
Lifestyle Medicine Education.生活方式医学教育
Am J Lifestyle Med. 2015 Sep;9(5):361-367. doi: 10.1177/1559827615580307.
3
Prevalence of childhood and adult obesity in the United States, 2011-2012.美国儿童和成人肥胖率,2011-2012 年。
JAMA. 2014 Feb 26;311(8):806-14. doi: 10.1001/jama.2014.732.
4
2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society.2013年美国心脏协会/美国心脏病学会/肥胖学会成人超重和肥胖管理指南:美国心脏病学会/美国心脏协会实践指南工作组及肥胖学会报告
J Am Coll Cardiol. 2014 Jul 1;63(25 Pt B):2985-3023. doi: 10.1016/j.jacc.2013.11.004. Epub 2013 Nov 12.
5
Do physician beliefs about causes of obesity translate into actionable issues on which physicians counsel their patients?医生对肥胖原因的看法是否会转化为医生为患者提供建议的可操作问题?
Prev Med. 2013 May;56(5):326-8. doi: 10.1016/j.ypmed.2013.01.012. Epub 2013 Feb 8.
6
A silent response to the obesity epidemic: decline in US physician weight counseling.对肥胖流行的无声回应:美国医生体重咨询的减少。
Med Care. 2013 Feb;51(2):186-92. doi: 10.1097/MLR.0b013e3182726c33.
7
The epidemiology of weight counseling for adults in the United States: a case of positive deviance.美国成年人体重咨询的流行病学:正向异常的案例。
Int J Obes (Lond). 2013 May;37(5):751-3. doi: 10.1038/ijo.2012.113. Epub 2012 Jul 10.
8
Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence.2050 年美国成年人口糖尿病负担预测:发病率、死亡率和糖尿病前期患病率的动态建模。
Popul Health Metr. 2010 Oct 22;8:29. doi: 10.1186/1478-7954-8-29.
9
Primary care nurses struggle with lifestyle counseling in diabetes care: a qualitative analysis.初级保健护士在糖尿病护理中的生活方式咨询方面存在困难:定性分析。
BMC Fam Pract. 2010 May 25;11:41. doi: 10.1186/1471-2296-11-41.
10
How is shared decision-making defined among African-Americans with diabetes?非裔美国糖尿病患者群体中的共同决策是如何定义的?
Patient Educ Couns. 2008 Sep;72(3):450-8. doi: 10.1016/j.pec.2008.05.018. Epub 2008 Aug 5.