Croghan Ivana T, Ebbert Jon O, Njeru Jane W, Rajjo Tamim I, Lynch Brian A, DeJesus Ramona S, Jensen Michael D, Fischer Karen M, Phelan Sean, Kaufman Tara K, Schroeder Darrell R, Rutten Lila J Finney, Crane Sarah J, Tulledge-Scheitel Sidna M
Mayo Clinic, Rochester, MN, USA.
J Prim Care Community Health. 2019 Jan-Dec;10:2150132719870879. doi: 10.1177/2150132719870879.
Much has been written about the patients' perspective concerning weight management in health care. The purpose of this survey study was to assess perspectives of primary care providers (PCPs) and nurses toward patient weight management and identify possible areas of growth. We emailed a weight management-focused survey to 674 eligible participants (437 [64.8%] nurses and 237 [35.2%] PCPs) located in 5 outpatient primary care clinics. The survey focused on opportunities, practices, knowledge, confidence, attitudes, and beliefs. A total of 219 surveys were returned (137 [62.6%] from nurses and 82 [34.4%] from PCPs). Among 219 responders, 85.8% were female and 93.6% were white non-Hispanic. In this study, PCPs and nurses believed obesity to be a major health problem. While PCPs felt more equipped than nurses to address weight management ( < .001) and reported receiving more training than nurses (50.0% vs 17.6%, respectively), both felt the need for more training on obesity (73.8% and 79.4%, respectively). Although, PCPs also spent more patient contact time providing weight management services versus nurses ( < .001), the score was lower for PCPs than nurses (-0.35 ± 0.44 vs -0.17 ± 0.41, < .001) with PCPs more likely to say they lacked the time to discuss weight and they worried it would cause a poor patient-PCP relationship. The also differed significantly between the groups, with nurses feeling less equipped to deal with weight management issues than PCPs (-0.42 ± 0.43 vs -0.03 ± 0.55, < .001). Neither group seemed very confident, with those in the PCP group only answering with an average score of neutral. By asking nurses and PCP general questions about experiences, attitudes, knowledge, and opinions concerning weight management in clinical care, this survey has identified areas for growth in obesity management. Both PCPs and nurses would benefit from additional educational training on weight management.
关于患者对医疗保健中体重管理的看法，已有大量相关著述。本调查研究的目的是评估初级保健提供者（PCP）和护士对患者体重管理的看法，并确定可能的发展领域。我们向位于5家门诊初级保健诊所的674名符合条件的参与者（437名[64.8%]护士和237名[35.2%]PCP）发送了一份以体重管理为重点的调查问卷。该调查聚焦于机会、实践、知识、信心、态度和信念。共收回219份调查问卷（137份[62.6%]来自护士，82份[34.4%]来自PCP）。在219名受访者中，85.8%为女性，93.6%为非西班牙裔白人。在本研究中，PCP和护士都认为肥胖是一个主要的健康问题。虽然PCP觉得自己比护士更有能力处理体重管理问题（P<0.001），且报告接受的培训比护士更多（分别为50.0%和17.6%），但双方都觉得需要接受更多关于肥胖的培训（分别为73.8%和79.4%）。尽管PCP在提供体重管理服务方面花费的患者接触时间也比护士多（P<0.001），但其得分低于护士（-0.35±0.44对-0.17±0.41，P<0.001），PCP更有可能表示他们没有时间讨论体重问题，且担心这会导致医患关系不佳。两组之间的自我效能感也存在显著差异，护士觉得自己处理体重管理问题的能力不如PCP（-0.42±0.43对-0.03±0.55，P<0.001）。两组似乎都不太自信，PCP组的平均得分仅为中性。通过询问护士和PCP关于临床护理中体重管理的经验、态度、知识和意见等一般性问题，本次调查确定了肥胖管理方面的发展领域。PCP和护士都将从额外的体重管理教育培训中受益。
