Dietary advice in clinical practice:: the views of general practitioners in Europe
Dietary advice in clinical practice:: the views of general practitioners in Europe
复制标题
DOI：
10.1093/ajcn/77.4.1048s
复制
发表时间：
2003-04-01
影响因子：
7.1
通讯作者：
Sammut, MR
中科院分区：
文献类型：
--
作者：
Brotons, C;Ciurana, R;Sammut, MR
背景：全科医生（GPs）可以向患者宣传良好的营养知识，并针对特定疾病为他们提供理想的饮食建议。
目的：目的是评估全科医生在实施预防和健康促进活动方面的知识和态度，并描述欧洲全科医生在为患者提供饮食建议时所使用的工具。
设计：向来自10个全科医生国家学院的1976名全科医生邮寄了一份邮政调查问卷，以获取有关预防和健康促进方面的信念和态度的信息，同时向代表国家学院的15名全科医生发送了一份电子邮件调查问卷，以获取有关饮食指南的信息。
结果：在邮政调查中，45%的全科医生报告在临床实践中会评估体重，60%的全科医生报告会建议超重患者减肥。58%的全科医生回答说，他们在帮助患者达到或保持正常体重方面效果甚微或没有效果。在电子邮件调查中，15个学院中只有4个报告说他们发布了自己的饮食工具，尽管15个学院中有10个回答说全科医生在接诊患者时会在诊所使用一些营养/饮食建议。15个学院中有11个回答说护士和全科医生都会为患者提供饮食建议，其中4个回答说只有全科医生为患者提供建议。只有5名代表回答说他们可以将患者转诊给受过培训的营养专家。
结论：全科医生认为在实践中肥胖问题不易处理。大多数全科医生在诊所拥有饮食工具，并认为护士在为患者提供建议方面发挥着重要作用。
Background: General practitioners (GPs) can promote good nutrition to patients and advise them about desirable dietary practices for specific conditions.Objective: The objective was to assess GPs' knowledge and attitudes in implementing preventive and health promotion activities and to describe tools used by European GPs in advising patients about dietary practices.Design: A postal survey was mailed to 1976 GPs from 10 GP national colleges to obtain information about beliefs and attitudes in prevention and health promotion, and an e-mail survey was sent to 15 GPs representing national colleges to obtain information about dietary guidelines.Results: In the postal survey, 45% of GPs reported estimating body mass in clinical practice, and 60% reported advising overweight patients to lose weight. Fifty-eight percent answered that they felt minimally effective or ineffective in helping patients achieve or maintain normal weight. In the e-mail survey, only 4 colleges out of 15 reported that they had published their own dietary tools, although 10 out of 15 answered that GPs use some nutritional/dietary recommendations in the office when seeing patients. Eleven out of 15 answered that both the nurse and the GP advise patients about dietary practices, with 4 answering that GPs were the only ones who advise patients. Only 5 delegates answered that they can refer their patients to trained nutrition specialists.Conclusions: GPs think that obesity is not easy to handle in practice. Most GPs have dietary tools in the office and think that nurses play an important role in advising patients.