饮食咨询在脑卒中患者与非脑卒中患者中的变化趋势：来自 NAMCS 的证据，2011-2016 年。
Trends in Diet Counseling Among Stroke Versus Non-Stroke Patients: Evidence from the NAMCS, 2011-2016.
机构信息
Department of Family and Preventive Medicine, PGY-1, Family Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Mercer University School of Medicine, Macon, GA, USA.
出版信息
J Stroke Cerebrovasc Dis. 2022 Feb;31(2):106223. doi: 10.1016/j.jstrokecerebrovasdis.2021.106223. Epub 2021 Nov 26.
INTRODUCTION
Dietary modifications in post-stroke patients facilitated by diet counseling improves post-stroke recovery and stroke recurrence. The extent to which clinicians provide dietary counseling for these patients is unknown.
METHODS
2011 to 2016 National Ambulatory Medical Care Surveys (NAMCS) data were used to assess trends in post-stroke diet consultations by age. Multivariate logistic regression models assessed the likelihood of dietary counseling provision among patients with and without stroke.
RESULTS
The proportion of patients with stroke aged 60-79 who received diet counseling decreased from 18.2% in 2011 to 5.3%, 11.9%, 8.7%, 13.4%, and 15.2% in 2012-2016, respectively. Among patients without stroke aged 60-79, diet counseling rate decreased from 12.9% in 2011 to 7%, 9.5%, 10.5%, 13.5%, and 12% in 2012-2016, respectively. Similar trends were observed among patients with and without stroke aged over 80.
CONCLUSIONS
The proportion of patients with and without stroke receiving dietary counseling has remained low over the past half-decade. It is likely multifactorial- related to clinician knowledge, patients' receptiveness, and system-level factors of time and reimbursement. Future interventions should explore methods to address barriers to nutrition recommendations for post-stroke patients and patient activation to adopt dietary changes.
简介
通过饮食咨询对脑卒中患者进行饮食调整有助于促进脑卒中康复和降低脑卒中复发风险。但目前尚不清楚临床医生为这些患者提供饮食咨询的程度。
方法
利用 2011 年至 2016 年全国门诊医疗调查（NAMCS）数据，按年龄评估脑卒中后饮食咨询的趋势。多变量逻辑回归模型评估了有和无脑卒中患者获得饮食咨询的可能性。
结果
年龄在 60-79 岁的脑卒中患者中，接受饮食咨询的比例从 2011 年的 18.2%降至 2012 年至 2016 年的 5.3%、11.9%、8.7%、13.4%和 15.2%。年龄在 60-79 岁的无脑卒中患者中，接受饮食咨询的比例从 2011 年的 12.9%降至 2012 年至 2016 年的 7%、9.5%、10.5%、13.5%和 12%。年龄在 80 岁以上的有和无脑卒中患者也观察到类似的趋势。
结论
过去五年中，有和无脑卒中患者接受饮食咨询的比例一直较低。这可能是多因素相关的，包括临床医生的知识、患者的接受程度以及时间和报销等系统因素。未来的干预措施应探讨解决脑卒中患者营养建议障碍和患者积极性以采取饮食改变的方法。
Zotero 插件