Primary care staff's views and experiences related to routinely advising patients about physical activity. A questionnaire survey
Primary care staff's views and experiences related to routinely advising patients about physical activity. A questionnaire survey
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DOI：
10.1186/1471-2458-6-138
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发表时间：
2006-05-23
影响因子：
4.5
通讯作者：
Kerr, Ann
中科院分区：
文献类型：
--
作者：
Douglas, Flora;Torrance, Nicola;Kerr, Ann
背景：英国公共卫生政策近期再次强调了初级卫生保健专业人员在解决普通人群中日益增加的身体活动不足问题方面的作用。然而，人们对这在实践中产生的影响知之甚少。本研究探讨了苏格兰初级保健人员在日常诊疗中就身体活动向患者提供建议时的相关知识、态度和经验。
方法：2004年对四个卫生区域的全科医生（或家庭医生）、执业护士和健康访视员进行了一项横断面问卷调查。主要的结果衡量指标包括：（i）卫生专业人员对当前身体活动建议的了解；（ii）与日常身体活动建议相关的实践；以及（iii）相关态度。
结果：757名初级保健人员回复了问卷（回复率为54%）。提供建议的信心和热情普遍较高，但对当前身体活动建议的了解程度较低。总体而言，受访者表示，无论患者呈现何种状况，他们都会常规地与患者讨论并就身体活动提供建议。健康访视员和执业护士比全科医生更有可能提供常规建议。全科医生比其他专业群体更有可能将缺乏时间和资源报告为常规建议的障碍。然而，健康访视员和执业护士也比全科医生更有可能相信患者会遵循他们的身体活动建议。
结论：如果要使初级卫生保健人员在鼓励和支持普通人群增加身体活动方面有充分的积极性和有效性，政策制定者和卫生专业人员需要努力：（1）提高一线初级保健人员对当前身体活动建议和人群趋势的了解；（2）考虑开发工具以支持针对个体情况的评估和建议。尽管本研究发现常规建议的系统障碍不像之前其他研究表明的那样是个大问题，但这个问题仍然是一个挑战。
Background: United Kingdom public health policy has recently re-emphasised the role of primary health care professionals in tackling increasing levels of physical inactivity within the general population. However, little is known about the impact that this has had in practice. This study explores Scottish primary care staff's knowledge, attitudes and experiences associated with advising patients about physical activity during routine consultations.Methods: A cross-sectional questionnaire survey of general practitioners ( or family physicians), practice nurses and health visitors based in four health regions was conducted during 2004. The main outcome measures included: (i) health professionals' knowledge of the current physical activity recommendations; (ii) practice related to routine physical activity advising; and (iii) associated attitudes.Results: Questionnaires were returned by 757 primary care staff ( response rate 54%). Confidence and enthusiasm for giving advice was generally high, but knowledge of current physical activity recommendations was low. In general, respondents indicated that they routinely discuss and advise patients about physical activity regardless of the presenting condition. Health visitors and practice nurses were more likely than general practitioners to offer routine advice.Lack of time and resources were more likely to be reported as barriers to routine advising by general practitioners than other professional groups. However, health visitors and practice nurses were also more likely than general practitioners to believe that patients would follow their physical activity advice giving.Conclusion: If primary health care staff are to be fully motivated and effective in encouraging and supporting the general population to become more physically active, policymakers and health professionals need to engage in efforts to: ( 1) improve knowledge of current physical activity recommendations and population trends amongst frontline primary care staff; and ( 2) consider the development of tools to support individual assessment and advice giving to suit individual circumstances. Despite the fact that this study found that system barriers to routine advising were less of a problem than other previous research has indicated, this issue still remains a challenge.