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沙特阿拉伯西南部初级保健医生预防肥胖和高胆固醇血症的循证指南的利用。

Utilization of evidence-based guidelines for prevention of obesity and hypercholesterolemia among primary healthcare physicians in southwest of Saudi Arabia.

机构信息

Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia.

出版信息

Medicine (Baltimore). 2021 Dec 10;100(49):e28152. doi: 10.1097/MD.0000000000028152.

Abstract

To evaluate knowledge and use of evidence-based guidelines for prevention of obesity and hypercholesterolemia among primary healthcare physicians in Jazan, Saudi Arabia.This cross-sectional study targeted 170 primary healthcare centres (PHCs) in Jazan. Measurement of study's variables was completed during personal interviews. The content of the study instrument was based on The Saudi Guidelines on the Prevention and Management of Obesity and The Cholesterol Management Guide for Healthcare Practitioners.A total of 234 physicians participated in this study. The age of the physicians varied between 25 and 65 years and 51.7% of them were females. Knowledge of the physicians about the eat-well plate recommendations was very low, with none of the physicians reporting the recommended daily portions of fruits and vegetables. Less than 20% of the physicians knew the cutoff points for considering central obesity among male and female individuals. Only 21% of the physicians reported adherence concerning screening for obesity and 42% reported adherence to the guidelines concerning screening for hypercholesterolemia. Only 9% of the physicians were adherent to the guidelines concerning reducing the risk of obesity and only 13% reported adherence to the guidelines related to the reduction of hypercholesterolemia risk.The current investigation detected a low level of knowledge and adherence concerning the evidence-based practice related to prevention of the obesity and hypercholesterolemia and therefore limited role of PHC physicians in the prevention of obesity or hypercholesterolemia.

摘要

评估沙特阿拉伯吉赞地区初级保健医生预防肥胖和高胆固醇血症的循证指南知识和使用情况。本横断面研究以吉赞的 170 个初级保健中心(PHC)为研究对象。研究变量的测量是在个人访谈中完成的。研究工具的内容基于沙特肥胖预防和管理指南和医疗保健从业者胆固醇管理指南。共有 234 名医生参与了这项研究。医生的年龄在 25 至 65 岁之间,其中 51.7%为女性。医生对饮食均衡餐盘推荐的了解非常有限,没有医生报告推荐的水果和蔬菜每日摄入量。不到 20%的医生知道考虑男性和女性个体中心性肥胖的切点。只有 21%的医生报告了肥胖筛查的遵医嘱情况,42%报告了高胆固醇血症筛查的遵医嘱情况。只有 9%的医生遵医嘱减少肥胖风险,只有 13%的医生报告了遵医嘱减少高胆固醇血症风险。目前的调查发现,医生在预防肥胖和高胆固醇血症方面的循证实践知识和遵医嘱程度较低,因此初级保健医生在预防肥胖或高胆固醇血症方面的作用有限。

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