Author/Editor		Bizjak, Mojca; Peršolja, Melita; Zadnik Stirn, Lidija
Title		Expert opinions about the use of comprehensive nutrition protocol in practice for obesity prevention
Translated title		Mnenje strokovnjakov o uporabi celostnega prehranskega protokola v praksi pri preprečevanju debelosti
Type		članek
Vol. and No.		Letnik 50, št. 3
Publication year		2016
Volume		str. 224-231
ISSN		1318-2951 - Obzornik Zdravstvene Nege
Language		eng
Abstract		Uvod: Debelost je povezana s številnimi kroničnimi boleznimi. Analizirana je bila situacija v realnem okolju, to je zdravstvenem timu na primarni ravni, v primeru, če bi natančno opisan celostni prehranski protokol za obravnavo debelosti vpeljali v prakso. Metode: Z opravljenim skupinskim odločanjem v fokusni skupini in orodjem SPIN (Slabosti, Prednosti, Izzivi in Nevarnosti) so bili definirani pozitivni in negativni dejavniki na novo oblikovanega celostnega prehranskega protokola, ki so bili nato z metodo analitičnega hierarhičnega procesa, ki vključuje mnenje ekspertov, numerično ovrednoteni. Rezultati: Ugotovljeno je bilo, da sta po mnenju ekspertov najpomembnejša dejavnika, ki vplivata na prednosti uvedbe prehranskega protokola v prakso, enakovredna obravnava vseh preiskovancev in natančno pripravljena navodila. Poleg tega sta pozitivna dejavnika še individualna obravnava in izboljšanje zdravstvenega stanja ljudi. Dva najpomembnejša negativna dejavnika sta odvisnost od drugih strokovnjakov in prepričanje, da preiskovanci ne bodo zmogli slediti protokolu. Diskusija in zaključek: Mnenje strokovnjakov je pokazalo potrebo po prehranskem protokolu v klinični praksi, ki bi zagotovil enakovredno obravnavo vseh preiskovancev ter z natančno pripravljenimi navodili, izboljšal uspešnost pri preprečevanju debelosti. Nadaljnje delo bi bilo smiselno usmeriti v vzpostavitev prehranskih posvetovalnic na primarni ravni zdravstvenega sistema, kjer bi lahko zdravniki napotili osebe z debelostjo na individualno prehransko obravnavo, kar bi lahko zmanjšalo prevalenco debelosti.Introduction: Obesity is associated with a number of chronic diseases. The research aimed to determine the effectiveness of nutrition assessment when using a comprehensive nutrition protocol at primary health service. Methods: A real life situation was analysed for the positive and negative factors in the newly formed comprehensive nutritional protocol. These factors were identified by a group decision-making and a SWOT Analysis (Strengths, Weaknesses, Opportunities and Treats) and subsequently numerically evaluated with the Analytic Hierarchy Process method which included expert opinions. Results: According to experts, the most important factors justifying the introduction of the protocol in practice are equal treatment for all subjects and precisely prepared manual, followed by individual treatment and health status improvements. The two most important negative factors are dependence on other professionals and subjects will not be able to follow the protocol. Discussion and conclusion: Expert opinions favour the introduction of nutrition protocol in clinical practice to ensure equal treatment of all subjects, and enhance obesity prevention with the accompanying detailed instructions. For this reason, further research should address the foundation of dietetic counselling services at the primary level of healthcare, so that physicians could refer obese people to individual nutritional therapy, which may reduce the prevalence of obesity.
Keywords		debelost prehranska ocena protokol dietetiki tehnike podpora odločanju obesity nutrition assessment protocol dietitians decisions support techniques