Nutritional counseling in German general practices: a holistic approach.
Nutritional counseling in German general practices: a holistic approach.
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德国一般实践中的营养咨询：整体方法。
DOI：
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发表时间：
1997
影响因子：
7.1
通讯作者：
A. Wiesemann
中科院分区：
文献类型：
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作者：
A. Wiesemann
包括初级保健医生在内的所有德国卫生专业人员达成共识，健康生活的整体方法始于良好的营养。在巴登北部，2100 名全科医生和内科医生被询问了他们在日常实践中的营养态度和预防咨询。在做出回应的医生中，75% 的医生总体上非常重视预防，92% 的医生特别重视营养，65% 的医生提供特殊计划，例如“如何自行治疗糖尿病”或“通过减肥降低高血压”。海德堡大学全科医学讲座与德国最高医师委员会一起举办了全科医学营养咨询会议。 23 名参与者收集了有关教育和咨询、对改进教学的支持以及有关营养态度和食物的知识等主题的陈述和信息。海德堡协议如下：1）良好的营养咨询可以降低重要疾病的发病率，2）必须在全科实践中改进营养咨询，3）应提供与诊断相关的系统咨询书面案例，4）家庭医生应与营养师合作，5）为了质量保证，应推荐初级保健的三级策略，因为布鲁赫萨尔-奥斯特林根计划（减少肥胖和高胆固醇血症）的积极结果。如果可以促进使用被证明是成功的计划、额外的基于运动的社区方法和质量保证，那么全科诊所可以成为改善营养咨询和教育的场所。基于实践的研究结果可能会鼓励初级保健医生在营养指导上花费更多的时间和培训。
There is consensus among all German health professionals, including primary care physicians, that a holistic approach to healthy living begins with good nutrition. In northern Baden, 2100 general practitioners and internists were asked about their nutritional attitudes and preventive counseling in daily practice. Of responding physicians, 75% attributed great importance to prevention in general and 92% to nutrition in particular, 65% were providing special programs such as "How to treat diabetes by myself" or "Reducing hypertension by losing weight." Together with the highest German Committee of Physicians, the Lectures in General Medicine of the University of Heidelberg held a meeting on nutritional counseling in general practice. The 23 participants collected statements and information on the topics of education and counseling, support for improved teaching, and knowledge about nutritional attitudes and food. The Heidelberg agreements are as follows: 1) good nutritional counseling can reduce morbidity of important diseases, 2) nutritional counseling must be improved in general practice, 3) diagnosis-related written cases for systematic counseling should be available, 4) family doctors should cooperate with nutritionists, and 5) for quality assurance, the three-level strategy of primary care should be recommended because of the positive results of the Bruchsal-Oestringen program (reduction of obesity and hypercholesterolemia). General practice can become a place of improved nutritional counseling and education if the use of programs proven to be successful, additional exercise-based community approaches, and quality assurance can be facilitated. The outcome of practice-based studies may encourage primary care physicians to spend more time and training on nutrition guidance.