Teaching Resident Physicians to Provide Exercise Counseling: A Needs Assessment
Teaching Resident Physicians to Provide Exercise Counseling: A Needs Assessment
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教导住院医生提供运动咨询：需求评估
DOI：
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发表时间：
2002
期刊：
影响因子：
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通讯作者：
S. Sherman
中科院分区：
文献类型：
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作者：
L. Rogers;J. E. Bailey;B. Gutin;K. Johnson;M. Levine;F. Milan;C. Seelig;S. Sherman
目的了解住院医师对运动咨询的行为、知识和态度。方法1997年，美国6个培训项目的313名内科住院医师收到了一份自我填写的问卷。Pearson相关系数检验了住院医师的实践、态度和个人习惯之间的关联。逐步多元线性回归确定了住院医师运动咨询的预测因素。结果共有251名住院医师参与调查。只有15.5%的患者报告咨询超过80%的门诊患者关于运动。超过93%的人了解运动的好处，几乎所有人（96%）都认为医生有责任就运动问题向患者提供咨询。只有29%的人认为自己成功地让病人开始锻炼，只有28%的人对自己为病人开锻炼处方的技能有信心。91%的人认为运动咨询方面的培训是值得的。医师运动咨询的显著预测因子是运动咨询作为优先事项的感知（p < 0.001），对运动咨询技能的信心（p < 0.001）和研究生培训年份（p < 0.05） （R2 = 0.18）。医生对运动咨询技能信心的显著预测因子包括医生的性别（即男性）（p < 0.001）、认为运动对一个健康的35岁的人很重要（p < 0.01）、感觉运动咨询成功（p < 0.001）、感觉障碍对咨询的干扰较少（p < 0.001）和先前的运动咨询培训（p < 0.05） （R2 = 0.44）。结论住院医师对运动咨询的重视程度、对运动咨询技能的信心和研究生培训年限是其提供运动咨询的重要预测因素。这些因素应该在未来的教育计划中加以解决。
Purpose To determine the behaviors, knowledge, and attitudes of resident physicians regarding exercise counseling. Method In 1997, a self-administered questionnaire was sent to 313 internal medicine resident physicians at six U.S. training programs. Pearson correlation coefficients examined associations between the resident physicians' practices, attitudes, and personal habits. Stepwise multiple linear regression identified predictors of exercise counseling by the resident physicians. Results A total of 251 resident physicians responded. Only 15.5% reported counseling more than 80% of the clinic patients about exercise. Over 93% understood the benefits of exercise, and almost all (96%) felt that it was a physician's responsibility to counsel patients about exercise. Only 29% felt successful at getting their patients to start exercising, and only 28% felt confident in their skills to prescribe exercise for patients. Ninety-one percent felt that training in exercise counseling would be worthwhile. The significant predictors of physician exercise counseling were perception of exercise counseling as a priority (p <.001), confidence in exercise-counseling skills (p <.001), and postgraduate year of training (p <.05) (R2 = .18). The significant predictors of physicians' confidence in exercise-counseling skills included physician's gender (i.e., men) (p <.001), perception that exercise is important for a healthy 35-year-old (p <.01), feeling successful at exercise counseling (p <.001), perceiving less interference with counseling by barriers (p <.001), and prior training in exercise counseling (p <.05) (R2 = .44). Conclusions Resident physicians' perceptions of exercise counseling as a priority, confidence in counseling skills, and postgraduate year of training are important predictors of their providing exercise counseling. These factors should be addressed in future educational programs.