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生活方式医学实践中患者的特征描述。

Characterization of Patients in a Lifestyle Medicine Practice.

作者信息

Henderson Richard C, Shing Tracie L

机构信息

LifeStyle Medical Centers, Chapel Hill, North Carolina (RCH).

University of North Carolina School of Public Health, Chapel Hill, North Caroline (TLS).

出版信息

Am J Lifestyle Med. 2019 Feb 13;15(3):330-346. doi: 10.1177/1559827619826543. eCollection 2021 May-Jun.

DOI:10.1177/1559827619826543
PMID:34025326
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8120625/
Abstract

. Lifestyle medicine is a relatively new specialty within medicine. The aim of this report is to characterize patients who present to a lifestyle medicine clinical practice. . LifeStyle Medical Centers is an independent, community-based practice; this report is based on over 3200 patients within this practice. Most of the data presented were obtained from an intake questionnaire developed by the practice to provide background and screening particularly relevant to lifestyle medicine, including areas such as stress, sleep, physical activity, health knowledge, motivation, weight loss history and goals, and smoking. . Patients who present for lifestyle care come with varied goals, past histories, and current lifestyle issues. Many express a very high level of motivation to lose an unrealistically large amount of weight. The prevalence of physical inactivity, inadequate sleep, high stress, and risk of depression are high, yet the importance of these to health and well-being are often not recognized by the patient. Over 90% of the cost of care was covered by insurance. . Having a better understanding of the patients who come to a lifestyle medicine clinic will help practices better design their lifestyle programs and guide lifestyle medicine providers to better engagement and care of their patients.

摘要

生活方式医学是医学领域中一个相对较新的专业。本报告的目的是描述前来生活方式医学临床实践就诊的患者特征。生活方式医学中心是一家独立的、以社区为基础的医疗机构;本报告基于该机构内3200多名患者的数据。所呈现的大部分数据来自该机构编制的一份问诊问卷,以提供与生活方式医学特别相关的背景信息和筛查内容,包括压力、睡眠、身体活动、健康知识、动机、减肥史及目标以及吸烟等方面。前来接受生活方式护理的患者有着不同的目标、过往经历和当前的生活方式问题。许多人表现出极高的动机,想要减掉不切实际的大量体重。身体活动不足、睡眠不足、压力大以及患抑郁症风险高的情况很普遍,但患者往往没有认识到这些对健康和幸福的重要性。超过90%的护理费用由保险支付。更好地了解前来生活方式医学诊所就诊的患者,将有助于医疗机构更好地设计其生活方式项目,并指导生活方式医学提供者更好地与患者互动并提供护理。

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