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巴生谷地区基层医疗医生的肥胖症护理知识与实践:一项横断面研究

Obesity care knowledge and practice among primary care physicians in Klang valley: a cross-sectional study.

作者信息

Paneerselvam Ganesh Sritheran, Kee Ling Siik, Beshir Semira Abdi, Ming Long Chiau, Alsaleh Nada A, Alsharif Alaa A

机构信息

School of Pharmacy, Faculty of Health and Medical Sciences , Taylor's University, Subang Jaya, Malaysia.

Department of Pharmacy Practice, Dubai Pharmacy College for Girls, Dubai, United Arab Emirates.

出版信息

BMC Prim Care. 2025 Aug 18;26(1):256. doi: 10.1186/s12875-025-02946-3.

DOI:10.1186/s12875-025-02946-3
PMID:40826017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12359962/
Abstract

BACKGROUND

Obesity has become a public health concern as its prevalence has increased rapidly around the world, including Malaysia. Primary care physicians (PCPs) are the first point of contact for obese patients, playing a crucial role in managing obesity. This study aims to determine the level of obesity care knowledge and practices among PCPs and to identify factors associated with them.

METHODS

A cross-sectional study was conducted using a self-administered questionnaire distributed physically and online to PCPs. Pearson Chi-Square test was used to identify associations between demographic characteristics and obesity-related knowledge while the relationship between knowledge and practice scores was explored using regression analysis.

RESULTS

A total of 126 PCPs participated in the study. Of these, 72% demonstrated a good level of knowledge, and 66% showed good practices in obesity care. Use of clinical practice guidelines (CPGs) was significantly associated with higher knowledge scores, while both CPG use and prior training were significantly associated with better practice scores (p < 0.05). A moderate positive correlation was observed between knowledge and practice scores (r = 0.397, p < 0.001).

CONCLUSION

PCPs have good obesity care knowledge and practice. Those using CPGs and with training were better prepared, resulting in improved practices. Enhancing awareness of these factors is crucial for future knowledge and practice improvements.

摘要

背景

肥胖已成为一个公共卫生问题,因为其在全球范围内,包括马来西亚,的患病率迅速上升。初级保健医生(PCP)是肥胖患者的第一接触点,在管理肥胖方面发挥着关键作用。本研究旨在确定初级保健医生对肥胖护理的知识水平和实践情况,并确定与之相关的因素。

方法

采用自行填写的问卷进行横断面研究,问卷通过线下和线上方式分发给初级保健医生。Pearson卡方检验用于确定人口统计学特征与肥胖相关知识之间的关联,同时使用回归分析探讨知识得分与实践得分之间的关系。

结果

共有126名初级保健医生参与了该研究。其中,72%的医生表现出良好的知识水平,66%的医生在肥胖护理方面表现出良好的实践。使用临床实践指南(CPG)与更高的知识得分显著相关,而CPG的使用和先前的培训都与更好的实践得分显著相关(p < 0.05)。知识得分与实践得分之间观察到中度正相关(r = 0.397,p < 0.001)。

结论

初级保健医生具有良好的肥胖护理知识和实践。那些使用CPG并接受过培训的医生准备得更好,从而带来更好的实践。提高对这些因素的认识对于未来知识和实践的改进至关重要。

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