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营养教育干预改善医学生的饮食习惯及其提供营养护理的能力和自我效能:一项前后及随访的准实验研究。

Nutrition education intervention improves medical students' dietary habits and their competency and self-efficacy in providing nutrition care: A pre, post and follow-up quasi-experimental study.

作者信息

Amoore Bright Yammaha, Gaa Patience Kanyiri, Amalba Anthony, Mogre Victor

机构信息

Department of Health Professions Education and Innovative Learning, School of Medicine, University for Development Studies, Tamale, Ghana.

Department of Nutritional Sciences, School of Allied Health Sciences, University for Development Studies, Tamale, Ghana.

出版信息

Front Nutr. 2023 Mar 2;10:1063316. doi: 10.3389/fnut.2023.1063316. eCollection 2023.

Abstract

OBJECTIVE

Most doctors and medical students report inadequate competencies in nutrition care. We evaluated the impact of a nutrition education intervention on medical students' lifestyle habits, dietary diversity, nutrition care knowledge, attitude toward nutrition care, and their level of self-efficacy in the provision of nutrition care.

METHODS

All 2nd-year medical students were enrolled into a 5 week, 24-h nutrition education intervention that involved both deductive and practical sessions. Pre-, post and 4 weeks follow-up assessments were conducted.

RESULTS

At post- and 4-weeks post-intervention the number of days participants consumed vegetables and engaged in moderate-to-vigorous physical activity significantly ( = 0.003 and 0.002) improved respectively from baseline. Mean nutrition care knowledge scores of participants increased by 3.27 points (95% Cl: 1.98-4.56, < 0.001) from 19.49 at baseline through to 24.78 post- and 22.76 4 weeks follow-up. No significant [ = 1.568, = 0.457] change in mean attitude toward nutrition care score was recorded. Mean level of self-efficacy in the provision of nutrition care improved significantly by 1.73 (95% Cl: 1.17-2.28, < 0.001) at post-intervention and 4 weeks follow-up compared to the baseline scores.

CONCLUSION

The intervention improved the nutrition care knowledge, self-efficacy in the provision of nutrition care as well as medical students' own consumption of vegetables, dietary diversity and their engagement in moderate-to-vigorous physical activity. However, continuous implementation of nutrition education interventions is needed to sustain these outcomes and further improve the nutrition education experience of medical students.

摘要

目的

大多数医生和医学生表示在营养护理方面能力不足。我们评估了营养教育干预对医学生生活方式习惯、饮食多样性、营养护理知识、对营养护理的态度以及他们提供营养护理的自我效能水平的影响。

方法

所有二年级医学生都参加了为期5周、24小时的营养教育干预,其中包括演绎课程和实践课程。进行了干预前、干预后和4周随访评估。

结果

在干预后和干预后4周,参与者食用蔬菜的天数和进行中度至剧烈体育活动的天数分别较基线显著增加(P = 0.003和0.002)。参与者的平均营养护理知识得分从基线时的19.49分增加了3.27分(95%可信区间:1.98 - 4.56,P < 0.001),干预后为24.78分,4周随访时为22.76分。记录到对营养护理态度得分的平均变化不显著[P = 1.568,自由度 = 0.457]。与基线得分相比,干预后和4周随访时提供营养护理的自我效能平均水平显著提高了1.73(95%可信区间:1.17 - 2.28,P < 0.001)。

结论

该干预提高了营养护理知识、提供营养护理的自我效能,以及医学生自身食用蔬菜情况、饮食多样性和他们进行中度至剧烈体育活动的参与度。然而,需要持续实施营养教育干预以维持这些成果,并进一步改善医学生的营养教育体验。

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