一项关于在全科医疗中常规称量患者体重以辅助体重管理的混合方法可行性研究。
A mixed-methods feasibility study of routinely weighing patients in general practice to aid weight management.
作者信息
Bonney Andrew, MacKinnon Duncan, Barnett Stephen, Mayne Darren J, Dijkmans-Hadley Bridget, Charlton Karen
机构信息
MBBS, MFM (Clin), PhD, DRANZCOG, FRACGP, General Practitioner and Roberta Williams Chair of General Practice, Graduate School of Medicine, University of Wollongong, and a general practitioner, New South Wales.
出版信息
Aust Fam Physician. 2017 Dec;46(12):928-933.
BACKGROUND
The optimal role of general practice in population weight management remains unclear. The aim of this mixed-methods study was to test the feasibility of routinely weighing all adult patients attending their general practice as an intervention to aid weight management in clinical practice.
METHODS
Consenting patients in six general practices were weighed at each presentation over a 12-month period. Data were analysed using linear mixed growth models. Participants' interviews at the completion of the study were thematically analysed.
RESULTS
The overall weight loss in patients who completed the study (n = 217) was 0.51 kg (P = 0.26; not significant); in patients who were obese (n = 106) there was a greater weight loss of 1.79 kg (P = 0.04). Patients were receptive to the intervention; however, there was disruption to clinical workflow.
DISCUSSION
Routinely weighing adult patients in general practice is feasible, requires resources and may be associated with weight loss in patients who are obese. Further research is required to inform support for implementation within practices.
背景
全科医疗在人群体重管理中的最佳作用尚不清楚。这项混合方法研究的目的是测试在临床实践中，对所有到全科诊所就诊的成年患者进行常规称重作为一种辅助体重管理干预措施的可行性。
方法
在12个月的时间里，对6家全科诊所中同意参与的患者每次就诊时都进行称重。使用线性混合增长模型对数据进行分析。对研究结束时参与者的访谈进行主题分析。
结果
完成研究的患者（n = 217）总体体重减轻了0.51千克（P = 0.26；无统计学意义）；肥胖患者（n = 106）体重减轻更多，为1.79千克（P = 0.04）。患者对该干预措施接受度较高；然而，临床工作流程受到了干扰。
讨论
在全科医疗中对成年患者进行常规称重是可行的，需要资源，并且可能与肥胖患者的体重减轻有关。需要进一步研究以指导在诊所内实施该措施的支持工作。
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