PDF(Pubmed)
Abstract：
Dietitians are healthcare professionals with potential roles and impacts in primary care (PC) settings when applying knowledge and expertise to educate healthcare clients at all levels and treat chronic diseases. This study seeks to compare and evaluate the nutrition care services and practices in obesity management in primary care centres for two periods (2016 and 2019) in Jeddah city, Saudi Arabia.
Surveys with service self-reporting evaluation used responses from 18 and 27 centres in 2016 and 2019. Services evaluation used no reference to a standard, but 18 of the surveyed PC centres in 2019 were previously visited in 2016 to assess the provided nutrition care services for adult obesity in PC centres. The re-visit survey investigated improvements in services achieved in 2019 concerning services for adults with obesity. A chi-square test was used to compare the surveys\' results in the two periods, which resulted in a significant difference in the provided nutrition care services for adult obesity between 2016 and 2019.
Dietitians\' employment has significantly changed (P < .0001) in 2019 compared to 2016. Dietitians were significantly noticed as the primary source of nutrition information after their integration into the services (P < .0001) in 2019. Services provided for adult obesity increased significantly (P value < .0001) in the second phase. However, there was no significant difference in serving adult groups between the two periods (P = .056).
Integrating dietitians into the PC services significantly enhanced their role in supporting PC services for conditions relating to adult obesity, which allowed them to be the most important source of the delivered nutrition information to patients. The employment rate of PC dietitians accredited by the governing body is significantly increasing; the Saudi Commission for Health Specialties will need to monitor it to ensure that dietitians have the qualifications and skills to provide professional medical nutrition therapy to patients. Further research to evaluate the quality of PC dietetic practice and improvements in patient outcomes is required to strengthen the importance of integrating registered dietitians into the services.
Surveys with service self-reporting evaluation used responses from 18 and 27 centres in 2016 and 2019. Services evaluation used no reference to a standard, but 18 of the surveyed PC centres in 2019 were previously visited in 2016 to assess the provided nutrition care services for adult obesity in PC centres. The re-visit survey investigated improvements in services achieved in 2019 concerning services for adults with obesity. A chi-square test was used to compare the surveys\' results in the two periods, which resulted in a significant difference in the provided nutrition care services for adult obesity between 2016 and 2019.
Dietitians\' employment has significantly changed (P < .0001) in 2019 compared to 2016. Dietitians were significantly noticed as the primary source of nutrition information after their integration into the services (P < .0001) in 2019. Services provided for adult obesity increased significantly (P value < .0001) in the second phase. However, there was no significant difference in serving adult groups between the two periods (P = .056).
Integrating dietitians into the PC services significantly enhanced their role in supporting PC services for conditions relating to adult obesity, which allowed them to be the most important source of the delivered nutrition information to patients. The employment rate of PC dietitians accredited by the governing body is significantly increasing; the Saudi Commission for Health Specialties will need to monitor it to ensure that dietitians have the qualifications and skills to provide professional medical nutrition therapy to patients. Further research to evaluate the quality of PC dietetic practice and improvements in patient outcomes is required to strengthen the importance of integrating registered dietitians into the services.
摘要：
背景：营养师是医疗保健专业人员，在应用知识和专业知识来教育各级医疗保健客户并治疗慢性疾病时，在初级保健（PC）设置中具有潜在作用和影响。这项研究旨在比较和评估吉达市两个时期（2016年和2019年）初级保健中心肥胖管理的营养护理服务和实践，沙特阿拉伯。
方法：使用服务自我报告评估的调查使用了2016年和2019年来自18个和27个中心的答复。服务评估没有参考标准，但在2019年接受调查的PC中心中,有18个曾在2016年接受过访问,以评估PC中心为成人肥胖提供的营养护理服务.重新访问调查了2019年有关肥胖成年人服务的服务改善情况。使用卡方检验比较两个时期的调查结果，这导致2016年至2019年间为成人肥胖提供的营养护理服务存在显著差异。
结果：与2016年相比，2019年营养师的就业发生了显着变化（P<0.0001）。营养师在2019年融入服务后，作为营养信息的主要来源被显著关注(P<0.0001)。在第二阶段，为成人肥胖提供的服务显着增加（P值<0.0001）。然而,在两个时期之间，服务成人组没有显着差异（P=.056）。
结论：将营养师纳入PC服务显着增强了他们在支持与成人肥胖有关的PC服务中的作用，这使得它们成为向患者提供营养信息的最重要来源。理事机构认可的PC营养师的就业率正在显着提高；沙特卫生专业委员会将需要对其进行监控，以确保营养师具有为患者提供专业医学营养治疗的资格和技能。需要进一步研究以评估PC饮食实践的质量和患者预后的改善，以加强将注册营养师纳入服务的重要性。
方法：使用服务自我报告评估的调查使用了2016年和2019年来自18个和27个中心的答复。服务评估没有参考标准，但在2019年接受调查的PC中心中,有18个曾在2016年接受过访问,以评估PC中心为成人肥胖提供的营养护理服务.重新访问调查了2019年有关肥胖成年人服务的服务改善情况。使用卡方检验比较两个时期的调查结果，这导致2016年至2019年间为成人肥胖提供的营养护理服务存在显著差异。
结果：与2016年相比，2019年营养师的就业发生了显着变化（P<0.0001）。营养师在2019年融入服务后，作为营养信息的主要来源被显著关注(P<0.0001)。在第二阶段，为成人肥胖提供的服务显着增加（P值<0.0001）。然而,在两个时期之间，服务成人组没有显着差异（P=.056）。
结论：将营养师纳入PC服务显着增强了他们在支持与成人肥胖有关的PC服务中的作用，这使得它们成为向患者提供营养信息的最重要来源。理事机构认可的PC营养师的就业率正在显着提高；沙特卫生专业委员会将需要对其进行监控，以确保营养师具有为患者提供专业医学营养治疗的资格和技能。需要进一步研究以评估PC饮食实践的质量和患者预后的改善，以加强将注册营养师纳入服务的重要性。
