Although nutrition is an important part of medical care, nutrition education is not provided in most training programs for physicians in the United States, resulting in limited nutrition knowledge among physicians and limited nutritional care of patients. A nutrition education program was provided by a physician nutrition specialist in a family practice residency program. For 6 mo, the nutrition specialist provided the family physicians with recommendations for nutritional care for their patients. The effects of the education program on residents' and faculty physicians' nutrition knowledge and nutritional patient care, patients' perceptions of the importance of nutrition, and physicians' dietary patterns were determined by pre- and post-intervention nutrition exams for physicians and patients, patient questionnaires about attitudes toward nutrition, chart reviews, and physicians' diet records. The nutrition education program resulted in an increase in physicians' nutrition knowledge scores (P < 0.01) and an increase in the frequency with which physicians discussed nutrition and recommended diets for their patients (P < 0.05). This suggests that nutrition education by a physician nutrition specialist within a family practice residency program can be effective in increasing nutritional care provided to patients.

译文

尽管营养是医疗保健的重要组成部分,但在美国大多数针对医生的培训计划中并未提供营养教育,导致医生的营养知识有限,患者的营养护理有限。营养教育计划由家庭实践居住计划中的医师营养专家提供。在6个月内,营养专家为家庭医生提供了有关患者营养护理的建议。教育计划对居民和教职医生的营养知识和营养患者护理,患者对营养重要性的看法以及医生的饮食模式的影响是通过对医生和患者进行干预前后的营养检查,患者问卷调查对营养的态度,图表评论,还有医生的饮食记录。营养教育计划导致医生的营养知识得分增加 (P <0.01),并且医生讨论营养和患者推荐饮食的频率增加 (P <0.05)。这表明,在家庭实践居住计划中,由医师营养专家进行的营养教育可以有效地增加向患者提供的营养护理。

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