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Association of Primary Care Visit Length With Potentially Inappropriate Prescribing.初级保健就诊时间与潜在不适当处方的关联。
JAMA Health Forum. 2023 Mar 3;4(3):e230052. doi: 10.1001/jamahealthforum.2023.0052.
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Evaluating Factors That Influence Patient Satisfaction in Otolaryngology Clinics.评估影响耳鼻喉科门诊患者满意度的因素。
Ann Otol Rhinol Laryngol. 2023 Jan;132(1):19-26. doi: 10.1177/00034894211055531. Epub 2022 Jan 29.
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Patient Satisfaction Determinants of Inpatient Healthcare.住院医疗患者满意度的决定因素。
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Genetic Risk, Adherence to a Healthy Lifestyle, and Coronary Disease.遗传风险、对健康生活方式的坚持与冠心病
N Engl J Med. 2016 Dec 15;375(24):2349-2358. doi: 10.1056/NEJMoa1605086. Epub 2016 Nov 13.
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A plant-based diet, atherogenesis, and coronary artery disease prevention.基于植物的饮食、动脉粥样硬化形成与冠状动脉疾病预防。
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The roles of self-efficacy and motivation in the prediction of short- and long-term adherence to exercise among patients with coronary heart disease.自我效能感和动机在预测冠心病患者短期和长期运动依从性中的作用。
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The relationship between worry, rumination, and comorbidity: evidence for repetitive negative thinking as a transdiagnostic construct.担忧、反刍与共病之间的关系:重复消极思维作为一种跨诊断结构的证据。
J Affect Disord. 2013 Oct;151(1):313-20. doi: 10.1016/j.jad.2013.06.014. Epub 2013 Jul 16.
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Unprocessed red and processed meats and risk of coronary artery disease and type 2 diabetes--an updated review of the evidence.未加工的红色肉类和加工肉类与冠心病和 2 型糖尿病风险——对现有证据的更新综述。
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家庭医学诊所中的生活方式医学实施

Lifestyle Medicine Implementation in Family Medicine Clinic.

作者信息

Bashir Kiren, Johnson-Gonzalez Courtney B, Dhiman Akshima, Crawford Timothy N, Lee Jennifer S

机构信息

Wright State University Boonshoft School of Medicine, Dayton, OH, USA (KB, CBJ, AD, TNC, JSL).

Wright State Physicians Family Medicine Health Center, Dayton, OH, USA (TNC, JSL).

出版信息

Am J Lifestyle Med. 2024 Oct 4:15598276241289316. doi: 10.1177/15598276241289316.

DOI:10.1177/15598276241289316
PMID:39540180
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11556562/
Abstract

Lifestyle medicine, a patient-centered approach promoting healthy lifestyle behaviors, is an evidence-based tool for preventing and treating chronic diseases. It has been shown to reduce the burden of physical and psychological diseases. Despite this, clinical implementation is lagging, with physicians facing barriers effectively encouraging lifestyle change. This project studies the Lifestyle Medicine Assessment (LMA) tool regarding ease of implementation and influence on patient motivation, perception of lifestyle changes, and satisfaction. A two-pronged approach was conducted. First, the implementation time was recorded for multiple encounters (N = 42). Next, a different subset of patients (N = 22) receiving the LMA completed a pre- and post-encounter survey about their motivation to change, perception of lifestyle changes on well-being, and visit satisfaction. A control group (N = 21) also received these surveys. The average time of application was 7.12 min. Intragroup scores for motivation to change were significantly higher in the LMA group post-intervention ( .001), but not in the control group. These results show the potential benefits of the LMA tool in a clinical setting, demonstrating realistically achievable implementation times and increased patient motivation regarding better lifestyle choices. Providers should consider using the LMA tool to promote lifestyle change within their practice.

摘要

生活方式医学是一种以患者为中心、促进健康生活方式行为的方法,是预防和治疗慢性病的循证工具。研究表明,它能减轻身心疾病的负担。尽管如此,临床应用仍滞后,医生在有效鼓励生活方式改变方面面临障碍。本项目研究生活方式医学评估(LMA)工具在实施的便利性以及对患者动机、生活方式改变认知和满意度的影响。采用了双管齐下的方法。首先,记录多次问诊(N = 42)的实施时间。其次,接受LMA的另一组不同患者(N = 22)在问诊前后完成了关于他们改变动机、生活方式改变对幸福感的认知以及就诊满意度的调查。一个对照组(N = 21)也接受了这些调查。平均应用时间为7.12分钟。干预后,LMA组内改变动机的得分显著更高(P <.001),但对照组没有。这些结果显示了LMA工具在临床环境中的潜在益处,表明实施时间切实可行,且患者对更好生活方式选择的动机增强。医疗服务提供者应考虑在其诊疗工作中使用LMA工具来促进生活方式改变。