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健康检查咨询中使用经过验证的膳食评估问卷的促进因素和抑制因素:职业健康护士和营养师的视角

Promoting and inhibiting factors for the use of validated dietary assessment questionnaires in health check-up counseling: from occupational health nurses and dietitians' perspective.

作者信息

Katagiri Ryoko, Muto Go, Sasaki Satoshi

机构信息

Department of Social and Preventive Epidemiology, Graduate School of Medicine, The University of Tokyo, Japan.

Department of Epidemiology and Environmental Health, Graduate School of Medicine, Juntendo University, Japan.

出版信息

Ind Health. 2019 Feb 5;57(1):90-98. doi: 10.2486/indhealth.2018-0022. Epub 2018 Jun 1.

DOI:10.2486/indhealth.2018-0022
PMID:29863034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6363583/
Abstract

A validated questionnaire is not typically used for dietary assessment in health check-up counseling provided by occupational health nurses in Japan. We conducted a qualitative study to investigate the barriers and promoting factors affecting the use of validated questionnaires. Ten occupational health nurses and three registered dietitians, working at a health insurance society, were recruited for this study using an open-ended, free description questionnaire. Inhibiting factors, such as "Feeling of satisfaction with the current method," "Recognition of importance," and "Sense of burden from the questionnaire", and as promoting factors, "Feeling the current method is insufficient", "Recognition of importance," "Reduction in the feeling of burden after the answer," "Expectation of and reaction to the result," and "Expectation for the effect of the counseling" were noted. Since a standardized dietary assessment method in health counseling might be desirable for the harmonization of work with diseases prevention in an occupational field, findings in this study could propose appropriate targets to reduce confusion in health professionals' concerning the use of validated questionnaires.

摘要

在日本,职业健康护士提供的健康检查咨询中,通常不会使用经过验证的问卷进行饮食评估。我们开展了一项定性研究,以调查影响使用经过验证问卷的障碍和促进因素。本研究使用开放式、自由描述问卷,招募了在一家健康保险协会工作的10名职业健康护士和3名注册营养师。研究发现了一些抑制因素,如“对当前方法的满意度”、“对重要性的认识”和“问卷带来的负担感”,以及促进因素,如“感觉当前方法不足”、“对重要性的认识”、“回答后负担感减轻”、“对结果的期望和反应”以及“对咨询效果的期望”。鉴于在职业领域,健康咨询中采用标准化饮食评估方法可能有助于协调工作与疾病预防,本研究结果可为减少健康专业人员在使用经过验证问卷方面的困惑提出适当目标。

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本文引用的文献

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A program needs-driven approach to selecting dietary assessment methods for decision-making in food fortification programs.一种基于项目需求驱动的方法,用于在食品强化项目中选择膳食评估方法以进行决策。
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