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基层医疗中的临床营养:住院医师态度及自我认知能力的评估

Clinical nutrition in primary care: An evaluation of resident physicians' attitudes and self-perceived proficiency.

作者信息

Han Sarah L, Auer Reto, Cornuz Jacques, Marques-Vidal Pedro

机构信息

Claremont McKenna, Pitzer, and Scripps Colleges, Claremont, CA, USA.

Department of Ambulatory and Community Medicine, University of Lausanne, Lausanne, Switzerland; Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.

出版信息

Clin Nutr ESPEN. 2016 Oct;15:69-74. doi: 10.1016/j.clnesp.2016.06.005. Epub 2016 Jun 23.

DOI:10.1016/j.clnesp.2016.06.005
PMID:28531787
Abstract

BACKGROUND & AIMS: There is little information regarding the impact of clinical nutrition training among medical residents. We aimed to evaluate the attitudes, self-perceived proficiency and knowledge of Swiss residents regarding clinical nutrition.

METHODS

Cross-sectional study conducted between June and September 2014 in two medical education facilities located in Lausanne, Switzerland. Attitudes, self-perceived proficiency and knowledge regarding clinical nutrition were assessed by questionnaire.

RESULTS

Of the 88 internal medicine residents queried, 44 (50% response rate, 25 women, mean age 34 ± 4 years) answered the questionnaire. Three quarters of the residents were trained in Switzerland and one third reported receiving some training in clinical nutrition. Seven out of ten (70.5%) residents agreed that all doctors should know how to provide nutrition-based assessment, no matter what their specialty. Conversely, only one out of ten (11.4%) felt that physicians were adequately trained. No differences were found between genders or country of training regarding the answers provided.

CONCLUSION

Residents in Lausanne perceive clinical nutrition in primary care as a priority but lack the confidence and training to effectively use clinical nutrition in their daily practice.

摘要

背景与目的

关于临床营养培训对住院医师的影响,目前信息较少。我们旨在评估瑞士住院医师对临床营养的态度、自我感知的能力以及相关知识。

方法

2014年6月至9月在瑞士洛桑的两个医学教育机构开展横断面研究。通过问卷调查评估对临床营养的态度、自我感知的能力以及相关知识。

结果

在88名接受询问的内科住院医师中,44人(回复率50%,25名女性,平均年龄34±4岁)回答了问卷。四分之三的住院医师在瑞士接受培训,三分之一报告接受过一些临床营养培训。十分之七(70.5%)的住院医师认为所有医生都应知道如何进行基于营养的评估,无论其专业是什么。相反,只有十分之一(11.4%)的人觉得医生接受了充分的培训。在提供的答案方面,性别或培训国家之间未发现差异。

结论

洛桑的住院医师认为基层医疗中的临床营养是优先事项,但缺乏在日常实践中有效运用临床营养的信心和培训。

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