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迷失在沟通中:家庭医生是否向患者提供预防饮食相关疾病的信息?

Lost in Communication: Do Family Physicians Provide Patients with Information on Preventing Diet-Related Diseases?

机构信息

Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartanska 1, 02-637 Warsaw, Poland.

Department of Ultrasound, Institute of Fundamental Technological Research, Polish Academy of Sciences, Pawinskiego 5B, 02-106 Warsaw, Poland.

出版信息

Int J Environ Res Public Health. 2022 Sep 2;19(17):10990. doi: 10.3390/ijerph191710990.

DOI:10.3390/ijerph191710990
PMID:36078700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9517834/
Abstract

Diet-related diseases remain leading causes of death in most developed countries around the world. The aim of the study was to compare opinions of patients and family physicians on receiving and providing recommendations about physical activity, diet and use of medication. The questionnaire study was conducted among patients of 36 primary health care clinics in Poland between September 2018 and February 2019. Patients and physicians were interviewed separately by trained researchers. Data from 509 patients and 167 family doctors were analyzed. The median age of patients was 44 years (interquartile range: 29-55) and 70% were women. The majority of physicians were women (59%) and the median age was 37 years (IQR: 31-50). There was a significant difference between physicians' declarations on providing recommendations on diet (92% vs. 39%) and activity (90% vs. 37%) versus patients' declarations on receiving them. The results indicate that there is significant room for improvement in providing patients with proper recommendations on diet and physical activity by their family physicians. Primary care physicians should put more emphasis on clear communication of recommendations on diet and physical activity.

摘要

在世界上大多数发达国家,与饮食相关的疾病仍然是主要死因。本研究旨在比较患者和家庭医生对接受和提供有关体育活动、饮食和药物使用建议的看法。这项问卷调查研究于 2018 年 9 月至 2019 年 2 月在波兰的 36 个初级保健诊所进行。经过培训的研究人员分别对患者和医生进行了访谈。共分析了 509 名患者和 167 名家庭医生的数据。患者的中位年龄为 44 岁(四分位间距:29-55),其中 70%为女性。大多数医生为女性(59%),中位年龄为 37 岁(四分位间距:31-50)。医生对提供饮食(92%对 39%)和活动(90%对 37%)建议的声明与患者对接受这些建议的声明之间存在显著差异。研究结果表明,家庭医生为患者提供适当的饮食和体育活动建议还有很大的改进空间。初级保健医生应更加重视明确沟通有关饮食和体育活动的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5202/9517834/f47c48bfa63d/ijerph-19-10990-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5202/9517834/f47c48bfa63d/ijerph-19-10990-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5202/9517834/f47c48bfa63d/ijerph-19-10990-g001.jpg

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Weight Communication: How Do Health Professionals Communicate about Weight with Their Patients in Primary Care Settings?体重沟通:初级保健环境中,健康专业人员如何与患者进行体重沟通?
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