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首页> 外文期刊>BMC Family Practice >To what extent do primary care practice nurses act as case managers lifestyle counselling regarding weight management? A systematic review
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To what extent do primary care practice nurses act as case managers lifestyle counselling regarding weight management? A systematic review

机译：初级保健执业护士在多大程度上担任案例管理者有关体重管理的生活方式咨询？系统评价

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Background In this review study, we are the first to explore whether the practice nurse (PN) can act as case manager lifestyle counselling regarding weight management in primary care. Methods Multiple electronic databases (MEDLINE, PsycINFO) were searched to identify relevant literature after 1995. Forty-five studies fulfilled the inclusion criteria. In addition, all studies were judged on ten quality criteria by two independent reviewers. Results Especially in the last three years, many studies have been published. The majority of the studies were positive about PNs’ actual role in primary care. However, several studies dealt with competency issues, including disagreement on respective roles. Thirteen studies were perceived as high quality. Only few studies had a representative sample. PNs’ role in chronic disease management is spreading increasingly into lifestyle counselling. Although PNs have more time to provide lifestyle counselling than general practitioners (GPs), lack of time still remains a barrier. In some countries, PNs were rather ambiguous about their role, and they did not agree with GPs on this. Conclusion The PN can play the role of case manager lifestyle counselling regarding weight management in primary care in the UK, and wherever PNs are working under supervision of a GP and a primary health care team is already developed with agreement on roles. In countries in which a primary health care team is still in development and there is no agreement on respective roles, such as the USA, it is still the question whether the PN can play the case manager role.
机译：背景技术在本综述研究中，我们是第一个探索执业护士（PN）是否可以充当有关初级保健中体重管理的个案经理生活方式咨询。方法检索1995年以后的多个电子数据库（MEDLINE，PsycINFO），以鉴定相关文献。45项研究符合纳入标准。此外，所有研究均由两名独立审核者根据十项质量标准进行评判。结果特别是在最近三年中，已经发表了许多研究。大多数研究对PN在初级保健中的实际作用持积极态度。但是，有几项研究涉及能力问题，包括对各自角色的分歧。十三项研究被认为是高质量的。只有很少的研究有代表性的样本。 PN在慢性病管理中的作用正越来越多地传播到生活方式咨询中。尽管PNs比全科医生（GPs）有更多时间提供生活方式咨询，但是时间不足仍然是一个障碍。在某些国家/地区，PNs对其角色的含糊不清，在这一点上他们不同意GP。结论在英国，PN可以在体重管理中扮演案例经理生活方式咨询方面的角色，在任何地方，只要PN在GP的监督下工作，并且已经组建了初级医疗团队并就角色达成协议。在那些仍在发展初级卫生保健团队并且尚未就各自角色达成协议的国家（例如美国），PN能否担当案件经理的角色仍是一个问题。

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