家庭医生会治疗肥胖患者吗？
Do family physicians treat obese patients?
作者信息
Heath C, Grant W, Marcheni P, Kamps C
机构信息
Department of Family Medicine, State University of New York, Health Science Center, Syracuse.
出版信息
Fam Med. 1993 Jun;25(6):401-2.
BACKGROUND
The purpose of this study was to characterize what patient and physician factors increase the likelihood of physicians counseling weight loss in their overweight patients.
METHODS
A retrospective chart survey of 418 outpatient charts from 50 family medicine residents and faculty was conducted.
RESULTS
Of the 267 patients who were overweight based on a body mass index score of more than 27, only 29.6% had been instructed to lose weight. Overweight patients with hypertension, diabetes, hypercholesterolemia, or coronary artery disease were instructed to lose weight 32.9% of the time. Patient age or sex and physician age, sex, or level of training did not affect the frequency of treatment.
CONCLUSION
Physicians need to be more aggressive in their counseling of overweight patients.
背景
本研究的目的是确定哪些患者因素和医生因素会增加医生为超重患者提供减肥建议的可能性。
方法
对来自50名家庭医学住院医师和教员的418份门诊病历进行回顾性图表调查。
结果
在267名基于体重指数得分超过27而超重的患者中，只有29.6%的患者被指示减肥。患有高血压、糖尿病、高胆固醇血症或冠状动脉疾病的超重患者，有32.9%的时间被指示减肥。患者的年龄或性别以及医生的年龄、性别或培训水平均未影响治疗频率。
结论
医生在为超重患者提供咨询时需要更积极主动。
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