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小型动物全科医生尽管有适应证的依据,但很少讨论营养问题,他们引用了一些障碍因素。

Small animal general practitioners discuss nutrition infrequently despite assertion of indication, citing barriers.

机构信息

1Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI.

2Hill's Pet Nutrition, Topeka, KS.

出版信息

J Am Vet Med Assoc. 2022 Jul 28;260(13):1704-1710. doi: 10.2460/javma.22.05.0226.

Abstract

OBJECTIVE

To determine what perceived factors prevent small animal general practitioners from discussing pet nutrition with clients during healthy and sick pet appointments.

SAMPLE

403 veterinarians in small animal general practice.

PROCEDURES

An online survey was used to gather veterinarians' opinions on perceived barriers, knowledge levels, and confidence regarding pet nutrition discussions.

RESULTS

Reported barriers to discussing nutrition during healthy pet appointments included client resistance to changing brand (149/359), time constraints (146/359), misinformation online (138/359), and difficulty keeping up with products (132/359). Reported barriers to discussing nutrition during sick pet appointments included client cost concerns (101/349), pet not accepting new food (99/349), and time constraints (83/349). Veterinarians reported discussing nutrition less during healthy pet appointments, compared to sick pet appointments, and were significantly less confident with their knowledge regarding nontherapeutic food, compared to therapeutic food. Veterinarians also reported that they perceived conversations about therapeutic foods to be more positive than conversations about nontherapeutic foods, and veterinarians with more years in practice more commonly reported that there was nothing that would dissuade them from discussing nutrition. Veterinarians who reported barriers to discussing nutrition described a need for resources and reliable information for health-care teams and clients.

CLINICAL RELEVANCE

Results demonstrated a substantial gap between veterinarians' assertion that nutrition conversations are indicated and the frequency with which they discuss nutrition during appointments. Veterinarians reported that they felt their nutrition conversations were frequently positive; therefore, it is important to overcome barriers to engage with clients about pet nutrition.

摘要

目的

确定小型动物全科医生在健康和患病宠物就诊时与客户讨论宠物营养的原因。

样本

小型动物全科医生 403 人。

程序

使用在线调查收集兽医对宠物营养讨论的感知障碍、知识水平和信心的意见。

结果

报告的在健康宠物就诊期间讨论营养的障碍包括客户抵制更换品牌(149/359)、时间限制(146/359)、在线错误信息(138/359)和难以跟上产品(132/359)。报告的在患病宠物就诊期间讨论营养的障碍包括客户对成本的关注(101/349)、宠物不接受新食物(99/349)和时间限制(83/349)。与患病宠物就诊相比,兽医报告在健康宠物就诊期间讨论营养的频率较低,与治疗性食物相比,他们对非治疗性食物的知识的信心明显较低。兽医还报告说,他们认为关于治疗性食物的对话比关于非治疗性食物的对话更积极,并且实践年限较长的兽医更常报告说,没有什么可以阻止他们讨论营养。报告讨论营养障碍的兽医描述了医疗保健团队和客户需要资源和可靠信息的需求。

临床相关性

结果表明,兽医认为营养对话表明存在很大差距,而他们在就诊期间讨论营养的频率。兽医报告说,他们觉得自己的营养对话经常是积极的;因此,重要的是要克服障碍,与客户就宠物营养进行沟通。

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