荷兰全科医生对解决肥胖问题的看法:一个定性研究
Willemijn J van den Hout1, Marieke A Adriaanse2,3, Louise M Den Beer Poortugael2
1Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands w.j.van_den_hout@lumc.nl.
BJGP open
|October 6, 2023
概括
一般医生在讨论,诊断和转诊患者进行肥胖管理时面临障碍. 针对关系,信仰和资源的量身定制干预措施对于有效的初级保健肥胖管理至关重要.
科学领域:
- 主要护理医学 医疗保健
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 肥胖是一种流行病,需要在初级保健中进行早期干预.
- 一般医生 (GPs) 经常在肥胖管理方面扎,表现出不太遵守指导方针.
研究的目的:
- 调查荷兰全科医生对解决患者肥胖问题的看法.
- 专注于三个关键行为:体重讨论,诊断和推.
主要方法:
- 对21名全科医生的定性焦点小组研究.
- 使用演编码和理论领域框架 (TDF) 的专题分析.
主要成果:
- 讨论体重的障碍包括无关的投诉,对患者负面反应的恐惧和话题敏感性.
- 由于缺乏时间和设备,诊断肥胖症受到阻碍.
- 推障碍涉及有限的选择和对有效性的怀疑.
- 值得信赖的患者关系有助于讨论体重问题.
结论:
- 在讨论,诊断和转诊肥胖症方面存在特定的障碍.
- 干预措施必须根据这些行为量身定制.
- 解决全科医生的信仰,培养关系和改善资源是关键,而不仅仅是知识增强.
相关概念视频
Obesity
516
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
516
Self-Schemas
31.1K
In general, a schema is a mental construct consisting of a cluster or collection of related concepts (Bartlett, 1932). There are many different types of schemata, and they all have one thing in common: schemata are a method of organizing information that allows the brain to work more efficiently. When a schema is activated, the brain makes immediate assumptions about the person or object being observed.
31.1K
Types of Global Positioning System Surveys
64
GPS surveying methods vary in application, accuracy, and data collection techniques, catering to diverse surveying and mapping needs. Static GPS, kinematic GPS, and real-time kinematic (RTK) surveying are widely used. Each technique offers distinct advantages.Static GPS involves placing one receiver at a known reference point and another at the target point. It collects exact positional data by observing multiple satellite ranges over an extended period, achieving centimeter-level accuracy for...
64
Binge Eating Disorders
110
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
110
Regulation of Food Intake
258
Short-term regulation of food intake primarily involves neural signals from the gastrointestinal (GI) tract, blood nutrient levels, and GI tract hormones. Communication between the gut and brain via vagal nerve fibers plays a significant role in evaluating the contents of the gut. Clinical studies have shown that protein ingestion produces a more prolonged response in these nerve fibers compared to an equivalent amount of glucose. Additionally, the activation of stretch receptors caused by GI...
258
Introduction to Global Positioning System
68
The Global Positioning System (GPS) revolutionized positioning on Earth, providing precise location data through satellite ranging. The GPS system was developed in 1978 by the U.S. Department of Defense for military use, and it became available for civilian applications in 1983, transforming fields including navigation, fleet management, and time synchronization for telecommunications systems.GPS consists of satellites in medium Earth orbit, about 20,200 kilometers above the surface,...
68


