• Title/Summary/Keyword: the necessity of nutrition counseling

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Evaluation of Necessity of Clinical Nutrition Education in the Medical School Curriculum (의과대학 교육과정중 임상영양교육의 필요성 평가)

  • 장현숙;권정숙
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.25 no.3
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    • pp.415-422
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    • 1996
  • This study was conducted to evaluate the necessity of clinical nutrition education in the medical school curriculum. One hundred and eighty five medical school students, residents, nurses, and forty undergraduate students majoring in food science and nutrition were involved in this study. The survey included questions about nutritional knowledge, necessity of nutrition counseling, necessity of clinical nutrition and nutritional attitudes. The nutritional knowledge scores of the subjects in medical school and residents were significantly lower than those of the students majoring in food science and nutrition. Subjects of 91.3% strongly agreed to the necessity of nutrition counseling for patients ; 78.9% agreed that the present nutrition education in medical schools was inadequate. Most subjects (94.1%) agreed that clinical nutrition was an important field in the treatment of diseases. The medical profession is facing the challenges of the 1990s with the shift to outpatient care and preventative services. Clinical nutrition is an essential element in the process of curriculum change. The nutrition educator will be expected to take a leading role in integrating clinical nutrition into medical school curriculum.

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Current Status and Activation Needs for Student Nutrition Counseling among Elementary and Middle·High School Dietitians (학교급식 영양사의 영양상담 실태 및 활성화 방안)

  • Lee, Mi Young;Choi, Kyung Suk
    • The Korean Journal of Community Living Science
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    • v.24 no.4
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    • pp.497-515
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    • 2013
  • This study was conducted to develop expanding strategies of nutrition counseling in school foodservices. The study participants were 102 school dietitians in Gyeonggi province, and information on the current status, dietitians' necessity awareness, and practical activation needs for nutrition counseling were investigated. While 78.8% of dietitians were aware that nutrition counseling was in need, it was only 31.3% who understood the necessity of nutrition counseling. The implementation rate of students' nutrition counseling was 26.2%, and 74.0% of counseling dietitians reported that they conducted nutrition counseling because it was on the inspection list by the Office of Education. Overall, dietitians did not have high consciousness of the need for nutrition counseling. The implementation rate of students' nutrition counseling was remarkably low due to the reason of excessive work and insufficient participants, and it was interpreted that dietitians had a low intrinsic motivation for nutrition counseling. So, we suggested several strategies to activate school nutrition counseling as follows. First of all, dietitians needed to increase the students' participation rate by promoting the importance of nutrition counseling to students and by assigning their available work hours for nutrition counseling. Second, in academic communities, standardized counseling manuals and media covering the important nutrition and health issues should be developed and disseminated, and education programs needed to build up dietitians' self-esteem and knowledge on nutrition counseling. Lastly, the Office of Education should have the initiative in activating nutrition counseling in school foodservices by supporting a budget and counseling dietitians who exclusively responsible part-time counseling at schools.

A study of satisfaction with nutrition counseling service for consumers (영양상담서비스에 대한 소비자의 만족도 조사 연구)

  • Ryu, Eun-Sun;Lee, Song-Mi;Heo, Gye-Yeong
    • Journal of the Korean Dietetic Association
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    • v.2 no.1
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    • pp.62-68
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    • 1996
  • The purposes of this study were to analyze the performance in nutrition counseling service and to develop a desirable methodology for the nutrition counseling. Data were collected through a survey on satisfaction of 221 patients( 111 males and 110 females) in the nutrition counseling service conducted in seven general hospitals of over 450 beds in Seoul. The results are as follows Most(93.9%) of the respondents agreed on the necessity of nutrition counseling and 96.8% of them recognized the importance of the role of a therapeutic diet. The mean satisfaction ratings were 4.34/5.00 in the dietitian's customization, 4.19/5.00 in the overall nutrition counseling service, 3.90/5.00 in the detailed presentation of the menu, and 3.66/5.00 in the explanations of recipes for the food. Total mean satisfaction ratings were 38.57/55.00 for liver disease patients, 40.29/55.00 for hypertensives, 42.54/55.00 for renal disease patients, 43.28/55.00 for gastrointestinal disease patients, and 44.09/55.00 for diabetics.

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Evaluation of Development and Necessity of Therapeutic Diet Manual Practice (진료를 위한 식이처방 지침서의 개발과 필요성 평가)

  • 조여원
    • Journal of Nutrition and Health
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    • v.28 no.2
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    • pp.162-169
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    • 1995
  • This study was conducted to evaluate the necessity and development of a therapeutic diet manual which contains basic nutritional science concepts that refer to nutritional management of patients in clinical settings. One hundred and fifty-four medical doctors, forty dietitians, and sixty-three students majoring in nutrition participated. The survey included questions about nutritional knowledge, nutrition-related concerns, and nutrition counseling in medical practice. The knowledge score of medical doctors was 47.7%. Lower percentages occurred in the amount of sodium allowed in the sodium restricted diet and the food sources of vitamin B1 were 16.9%, 31.2% respectively. Seventy-four percent of doctors strongly urged nutrition counseling for patients. Seventy one percent of doctors agreed that the present medical-nutrition education was inadequate in medical school curricura. Most doctors (79.2%) agreed that a therapeutic diet manual would be helpful and necessary. The average percentage of nutritional knowledge test scores for dietitians and students majoring in nutrition were 76.0% and 68.3%, respectively. Over ninety percent of dietitians working and their prescriptions. The result of this study strongly suggests that the development of a comprehensive therapeutic diet manual is necessary, especially for medical doctors.

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A Study on the Situation and Demand with Nutrition Service in Health Promotion Center (건강검진센터에서의 영양서비스 현황 및 요구도 조사)

  • Chang, Ji-Ho
    • Journal of Nutrition and Health
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    • v.40 no.5
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    • pp.475-482
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    • 2007
  • This study was done to analyze nutrition counseling services in health promotion center and to investigate demands of subjects for nutrition services. Data was collected through the survey of 90 subjects. The results were as follows. The results of people receiving nutrition services showed that 58.5% of the counseling group and 46.4% of the non-counseling group answered having experience with nutrition services. And 50% of them received nutrition counseling through individual counseling. Diet therapy with health check-up results also appeared the highest in contents of nutrition counseling. As a source of nutrition information and health knowledge, subjects relied heavily or most on the TV, internet, books, magazines, and newspapers. On the other hand, they relied much less on advice from dietitians, nutritionists, medical doctors and nurses. The experience of receiving nutrition services and thinking about nutrition education related positively. It showed that the counseling group (95.1%) was significantly higher than the non-counseling group (80.5%) in necessity of nutrition assessment. But, necessity of nutrition counseling wasn't significantly different between the two groups. The method of nutrition counseling subjects preferred was individual consultation. The subjects answered to having need of analysis and evaluation of nutrient intake and calorie prescription in nutrition assessment and individual nutritional status results explanation in nutrition counseling. In conclusion all people visiting health promotion centers need nutrition service of some kind.

Doctors' Perception and Needs on Clinical Nutrition Services in Hospitals (임상영양서비스에 대한 의료진의 인식 및 요구도)

  • Han, Min-Hye;Lee, Song-Mi;Lyu, Eun-Soon
    • Journal of the Korean Dietetic Association
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    • v.18 no.3
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    • pp.266-275
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    • 2012
  • The purpose of this study was to evaluate the perception and needs of doctors on clinical nutrition services. A cross-sectional survey design was used. The doctors' perception and needs were assessed by questionnaires that had been specifically designed for the study. The research was conducted from February 14 to March 15, 2011 for 544 doctors at 42 large hospitals (with over 400 beds). Ninety-eight percent of doctors responded that clinical nutrition service was important. The mean scores of importance on clinical nutrition service were 4.45 for 'nutrition screening at admission', 4.50 for 'treatment of malnutrition', and 4.43 for 'nutrition education and counseling'. The mean scores of needs for clinical nutrition service were 4.42 for 'individual nutrition counseling & education' 4.39 for 'nutrition management for malnourished patients' and 'nutrition management for tube fed patients'. The medical specialists showed significantly (P<0.01) higher scores than the residents on the importance and needs for clinical nutrition services. Eighty-five percent of the doctors recognized the necessity of the specialized dietitians classified by diseases. The medical specialists (93.8%) showed significantly (P<0.01) higher recognition of this necessity than the residents (77.7%). The low residents' perceptions of the importance and needs for clinical nutrition services will necessitate clinical nutrition education plans. The departments of clinical nutrition in universities should improve the ability and skills of the clinical dietitians.

Nutritional Education Status and Recognition of the Importance of Elementary School Dietitians in the Gyeongnam Area (경남지역 초등학교 영양사의 영양교육 실시현황 및 인식조사 - 공동관리 여부와 경력을 중심으로 -)

  • 허은실;양한라;윤현숙;이경혜
    • Korean Journal of Community Nutrition
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    • v.7 no.6
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    • pp.781-793
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    • 2002
  • This study was carried out to investigate the nutritional education status and the recognition of the importance of elementary school dietitians (N=183) in the Gyeongnam area. The results are summarized as follows. All subjects took part in nutritional education program, but the educational methods were passive, as in the case of “home correspondence”(80.8%) and “bulletin board poster”(16.4%), and the education frequency was very low as in “one time/month”(90.2%). The subjects thought “as an independent subject”(41.5%) and “as a related subjects”(35.1%) were suitable teaching venues for the nutritional education. They were very low in individual counseling (4.5%) for school children because of “lack of opportunity”(42.2%) and “heavy work load”(24.1%). However, most of the subjects wished that nutritional counseling could offered in the future (95.5%). The parents' experience of nutritional education was also low (34.3%). Information sources for nutritional education were mainly the “internet”(53.1%) and “re-educational materials” (25.0%). The available instructional materials included “printed materials”(96.7%), “exhibition bulletin materials” (70.3%) and “electronic materials”(46.4%). The preferred education materials were “exhibitionㆍbulletin materials”(32.2%), “printed materials”(29.2%), and “electronic materials”(27.7%). However, materials they wished to purchase were “electronic materials”(54.5%) and “cubic materials”(26.0%). These results show a difference between the preferred materials and the possessed materials. Most school dietitians (98.4%) recognized the necessity of nutritional education with respect to “good table manners”(42.0%), “correction of food prejudices”(30.3%), and “proper nutrition for growth”(21.0%) Although they had a great interest in nutritional education, they had difficulty in cutting their teaming into practice because of “heavy work load”(30.9%), “lack of a systematic curriculum”(25.2%), and “lack of a educational opportunity”(22.8%). Ninety five percent of subjects wished to have nutrition education taught as an independent subject. They pointed out “kindergarten”(60.0%) and “lower grades in elementary school”(33.9%) as the optimal starting times for nutritional education and “school dietitians”(91.3%) as suitable teachers for these programs. The required topics chosen by the subjects for nutritional education for children were “proper eating habits”(54.2%) and “nutritional problem”(31.5%). The dietitians thought “food prejudices”(44.7%), “rat too much processed and instant foods”(36.5%), and “obesity”(11.8%) were the most common nutritional problems among elementary school children. These results suggest the necessity of solving the nutritional problems in children by developing a nutritional education program. Along with this program, if dietitian assisted programs for parents were developed, the effects of nutritional education could definitely be increased.

Different Perceptions of Clinical Nutrition Services between Doctors and Dietitians in the Busan-Gyeongnam Area (임상영양서비스에 대한 부산.경남지역 의료진과 영양사의 인식 차이)

  • Choi, Jiyoung;Park, Eunju
    • Journal of the Korean Dietetic Association
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    • v.19 no.1
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    • pp.69-81
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    • 2013
  • The purpose of this study was to evaluate the difference in perception of clinical nutrition service (CNS) between doctors and dietitians working in hospitals in Busan and the Gyeongnam area. Research was performed through questionnaires (from November to December 2011) at over 100 beds. 73.3% of dietitians were aware of the Nutrition Support Team (NST), while only 15.6% of doctors were aware of it. Due to heavy work and lack of medical staff, doctors didn't participate in NST, although most of them recognized the necessity of NST. 61.7% of dietitians screened and managed malnourished patients, whereas only 29.8% of doctors did. The main reason dietitians didn't treat malnourished patients was the absence of a treatment system in the hospital. Less than 50% of dietitians participated in the doctor's round to malnourished patients. As for why dietitians didn't participate in doctor's rounds, 71% of doctors chose understaffed dietitians and 38.1% of dietitians chose the doctors' unawareness of the importance of the dietitian in doctor's rounds. For the lower rate of nutrition counseling in provincial regions, compared to the capital region, 46.8% of doctors cited a lack of connection between doctors and clinical dietitians, while 43.3% of dietitians cited the lack of doctors' awareness on the importance of nutrition counseling. Although 87.3% of the doctors and 91.6% of the dietitians answered that CNS is important for treatment, the perception of onsite performance status on CNS was found to be low in both groups. 48.9% of doctors and 50.0% of dietitians regarded dietitians in the hospital as personnel in charge of food services, rather a member of the medical team. To improve the awareness of the importance of the CNS, and the image of clinical dietitians, 31.2% of doctors answered "to introduce a professional dietitian license for each disease" and 26.7% of dietitians answered "to change the system in the hospital". Most subjects found that a separation of clinical nutrition services from the food service part is needed. These results suggest that it is important to narrow the difference in perceptions of clinical nutrition services between doctors and dietitians for an organized clinical nutrition management of patients in hospitals in Busan and the Gyeongnam area.

A Cross-Cultural Investigation of Nutrition Knowledge, Dietary Behaviors, and Checking Behaviors of Food and Nutrition Labels between Korean and Chinese University Students (한국과 중국 대학생의 영양지식, 식행동 및 식품영양 표시 확인 행동에 관한 비교 연구)

  • Shuchen, Guo;Kim, Hyochung;Kim, Meera
    • Journal of the East Asian Society of Dietary Life
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    • v.25 no.6
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    • pp.942-951
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    • 2015
  • This study compared nutrition knowledge, dietary behaviors, and checking behaviors of food and nutrition labels between Korean and Chinese university students to obtain useful data for development of an education program for healthy dietary life. The data were collected by a self-administered questionnaire in Korea and China. Frequencies, t tests, ${\chi}^2$ tests, Cronbach's ${\alpha}$, and Pearson's correlation coefficient analysis were conducted by SPSS Win. V.21.0. The levels of nutrition knowledge and dietary behaviors were not high. Korean students showed higher percentage of correct answers about nutrition knowledge and levels of dietary behaviors than Chinese students. The means of degree of checking contents of food labels were 3.46 points for Korean students and 3.11 for Chinese students. Both groups of students showed the highest degree of checking milk and dairy products. The degree of understanding nutritive component labeling of Chinese students was higher than that of Korean students. Both groups of students showed higher than normal levels of confidence about nutritive component labeling and necessity of education on food and nutrition labels. The most preferred method of education on food and nutrition labels was broadcast media for both groups of students. In addition, there were significant correlations among nutrition knowledge, dietary behaviors, checking degree of food labels, checking degree of nutritive component labeling, and experience of nutrition education.

Analysis on Awareness and Practices for Diet according to Lifestyles of College Students (대학생의 라이프스타일 유형에 따른 다이어트 인식도 및 실천 행동 분석)

  • Kim, Hyo-Chung;Kim, Mee-Ra
    • Korean Journal of Human Ecology
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    • v.19 no.1
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    • pp.157-165
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    • 2010
  • The purpose of this study was to investigate the awareness and practices for diet according to the lifestyles of college students in Youngnam region. The data were collected by self-administered questionnaires during May 2007. One hundred-ninety samples were analyzed by SPSS Windows. Frequencies, Cronbach's alpha, factor analysis, cluster analysis, one-way analysis of variance, Duncan's multiple range test and chi-square test were conducted. The results were as follows. Lifestyles were categorized into four factors by factor analysis: popularity-seeking type, body-management-seeking type, convenience-seeking type and healthy-seeking type. In addition, the respondents belonged to one of four groups by cluster analysis: body-management-seeking group, popularity-seeking group, convenience-seeking group, and healthy-seeking group. There were significant differences in perception about individual body images, concern of diet, awareness of diet necessity and knowledge and practices for diet among the four groups. That is, the body-management-seeking group showed the highest levels of concern of diet, awareness of diet necessity and the practice of fasting therapy. Additionally, the healthy-seeking group showed the highest level of practice of exercise therapy.