Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia.
School of Medicine, University of Zagreb, 10 000 Zagreb, Croatia.
Int J Environ Res Public Health. 2017 Dec 4;14(12):1499. doi: 10.3390/ijerph14121499.
Chronic non-communicable diseases are a significant public health problem and imbalanced nutrition is one of the most significant risk factor for them. The objective of this study was to examine Croatia's general practitioners' nutrition counselling practice and determine the factors that influence such practice. A cross-sectional study was conducted among 444 (17.0%) randomly selected general practitioners (GPs) in Croatia from May to July 2013 via a 32-item anonymous questionnaire. Study showed that 77.0% of participants had provided nutrition counselling exclusively to patients with specific health risks; 18.7% participants had provided nutrition counselling for all patients, regardless of their individual risks, while 4.3% had not provide nutrition counselling. As the most significant stimulating factor for implementing nutrition counselling in their daily work with patients, 55.6% of the participants identified personal interest regarding nutrition and the effects it has on health. The latter factor was more frequently emphasized among female general practitioners ( < 0.001) and general practitioners without chronic diseases ( < 0.001). The most significant barrier for nutrition counselling was lack of time (81.6%). It is necessary to make additional efforts to increase the frequency of nutrition counselling provided by general practitioners in Croatia. The majority of Croatian general practitioners could increase their nutrition counselling practice in order to promote balanced nutrition and improve the overall health status of their patients.
慢性非传染性疾病是一个重大的公共卫生问题,而营养不均衡是其中最重要的危险因素之一。本研究旨在调查克罗地亚全科医生的营养咨询实践,并确定影响这种实践的因素。2013 年 5 月至 7 月期间,采用 32 项匿名问卷对克罗地亚的 444 名(17.0%)随机选择的全科医生进行了横断面研究。研究表明,77.0%的参与者仅向有特定健康风险的患者提供营养咨询;18.7%的参与者向所有患者提供营养咨询,无论其个人风险如何,而 4.3%的参与者则没有提供营养咨询。55.6%的参与者认为个人对营养及其对健康影响的兴趣是在日常工作中为患者实施营养咨询的最主要激励因素。这一因素在女性全科医生(<0.001)和没有慢性病的全科医生(<0.001)中更为常见。缺乏时间是营养咨询的最大障碍(81.6%)。有必要做出额外努力,以增加克罗地亚全科医生提供营养咨询的频率。大多数克罗地亚全科医生可以增加他们的营养咨询实践,以促进均衡营养和改善患者的整体健康状况。