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未来医生对健康专业人员在营养护理方面责任的看法以及医生为何应学习营养知识:一项定性研究。

Future doctors' perspectives on health professionals' responsibility regarding nutrition care and why doctors should learn about nutrition: A qualitative study.

作者信息

Mogre Victor, Stevens Fred C J, Aryee Paul A, Amalba Anthony, Scherpbier Albert J J A

机构信息

Department of Health Professions Education and Innovative Learning, School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana; Department of Educational Research and Development, Faculty of Health, Medicine and Life Sciences, School of Health Professions Education, Maastricht University, Maastricht, The Netherlands.

Department of Educational Research and Development, Faculty of Health, Medicine and Life Sciences, School of Health Professions Education, Maastricht University, Maastricht, The Netherlands.

出版信息

Educ Health (Abingdon). 2019 May-Aug;32(2):91-94. doi: 10.4103/efh.EfH_134_17.

Abstract

BACKGROUND

Improved dietary and nutrition behavior may help reduce the occurrence of noncommunicable diseases which have become global public health emergencies in recent times. However, doctors do not readily provide nutrition counseling to their patients. We explored medical students' perspectives on health professionals' nutrition care responsibility, and why doctors should learn about nutrition and provide nutrition care in the general practice setting.

METHODS

Semistructured interviews were conducted among 23 undergraduate clinical level medical students (referred to as future doctors). All interviews were recorded and transcribed verbatim with data analysis following a comparative, coding, and thematic process.

RESULTS

Future doctors were of the view that all health professionals who come into contact with patients in the general practice setting are responsible for the provision of nutrition care to patients. Next to nutritionists/dieticians, future doctors felt doctors should be more concerned with the nutrition of their patients than any other health-care professionals in the general practice setting. Reasons why doctors should be more concerned about nutrition were as follows: patients having regular contacts with the doctor; doctors being the first point of contact; patients having more trust in the doctors' advice; helping to meet the holistic approach to patient care; and the fact that nutrition plays an important role in health outcomes of the patient.

DISCUSSION

Future doctors perceived all health professionals to be responsible for nutrition care and underscored the need for doctors to learn about nutrition and to be concerned about the nutrition of their patients.

摘要

背景

改善饮食和营养行为可能有助于减少非传染性疾病的发生,这类疾病近来已成为全球公共卫生突发事件。然而,医生并不轻易为患者提供营养咨询。我们探讨了医学生对卫生专业人员营养护理责任的看法,以及医生为何应在全科医疗环境中学习营养知识并提供营养护理。

方法

对23名本科临床阶段医学生(以下简称未来医生)进行了半结构式访谈。所有访谈均进行录音并逐字转录,随后采用比较、编码和主题分析流程进行数据分析。

结果

未来医生认为,在全科医疗环境中与患者接触的所有卫生专业人员都有责任为患者提供营养护理。除营养师/膳食专家外,未来医生觉得在全科医疗环境中,医生应比其他任何卫生保健专业人员更关注患者的营养状况。医生应更关注营养的原因如下:患者经常与医生接触;医生是首要接触点;患者更信任医生的建议;有助于实现患者护理的整体方法;以及营养在患者健康结果中起着重要作用。

讨论

未来医生认为所有卫生专业人员都对营养护理负有责任,并强调医生需要学习营养知识并关注患者的营养状况。

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