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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.

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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