Andrew Bonney, Duncan MacKinnon, Stephen Barnett, Darren J Mayne, Bridget Dijkmans-Hadley, Karen Charlton
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引用次数: 0
摘要
背景:全科医生在人口体重管理中的最佳作用尚不清楚。这项混合方法研究的目的是测试常规称重的可行性，所有成年患者参加他们的全科实践，作为一种干预措施，以帮助体重管理在临床实践。方法:在12个月的时间里，6个全科诊所的同意患者在每次就诊时称重。数据使用线性混合增长模型进行分析。在研究结束时，对参与者的访谈进行了主题分析。结果:完成研究的患者(n = 217)的总体重减轻为0.51 kg (P = 0.26;不显著);肥胖患者(n = 106)的体重减轻幅度更大，为1.79 kg (P = 0.04)。患者接受干预;然而，临床工作流程受到了干扰。讨论:常规称重成人患者在一般做法是可行的，需要资源，并可能与肥胖患者的体重减轻有关。需要进一步的研究来为实践中的实施提供支持。
A mixed-methods feasibility study of routinely weighing patients in general practice to aid weight management.
Background: The optimal role of general practice in population weight management remains unclear. The aim of this mixed-methods study was to test the feasibility of routinely weighing all adult patients attending their general practice as an intervention to aid weight management in clinical practice.
Methods: Consenting patients in six general practices were weighed at each presentation over a 12-month period. Data were analysed using linear mixed growth models. Participants' interviews at the completion of the study were thematically analysed.
Results: The overall weight loss in patients who completed the study (n = 217) was 0.51 kg (P = 0.26; not significant); in patients who were obese (n = 106) there was a greater weight loss of 1.79 kg (P = 0.04). Patients were receptive to the intervention; however, there was disruption to clinical workflow.
Discussion: Routinely weighing adult patients in general practice is feasible, requires resources and may be associated with weight loss in patients who are obese. Further research is required to inform support for implementation within practices.
期刊介绍：
The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian GPs to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to a peer-review process before they are accepted for publication. The journal is indexed in MEDLINE, Index Medicus and Science Citation Index Expanded.
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