Kennedy Maureen F, Meeuwisse W H
Calgary, ABT3A 2N1 Canada.
Prev Med. 2003 Sep;37(3):226-32. doi: 10.1016/s0091-7435(03)00118-x.
Exercise counselling is not frequently conducted by family physicians in several countries. Little is known about the exercise counselling practices of family physicians in Canada. The objective of this study was to assess physician confidence, current versus desired practice, and barriers related to the counselling of exercise by family physicians in Canada.
The study was a cross-sectional survey that included a random selection of family physicians in six provinces. A total of 330 family physicians completed the questionnaire, resulting in a response rate of 61.1%. A family physician was defined as a physician who practices family medicine at least 75% of their practice time.
A total of 58.2% believed only 0-25% of their patients would respond to their counselling and 42.4% felt "moderately knowledgeable" to exercise counsel. Only 11.8% counselled 76-100% of their patients about exercise, but 43.3% thought they should be counselling 76-100% of their patients. Barriers to exercise counselling that rated most important included lack of time (65.7%) and lack of exercise education in medical school (64.8%).
Family physicians indicated their current level of exercise counselling is suboptimal and confidence levels in exercise counselling were not high. Future educational opportunities for physicians may assist in improving exercise counselling.
在一些国家，家庭医生并不经常提供运动咨询服务。对于加拿大的家庭医生的运动咨询实践知之甚少。本研究的目的是评估加拿大的家庭医生在运动咨询方面的信心、当前实践与期望实践以及相关障碍。
该研究是一项横断面调查，随机选取了六个省份的家庭医生。共有330名家庭医生完成了问卷，回复率为61.1%。家庭医生被定义为至少75%的执业时间从事家庭医学的医生。
共有58.2%的人认为只有0 - 25%的患者会对他们的咨询做出回应，42.4%的人觉得自己在运动咨询方面“知识一般”。只有11.8%的人向76 - 100%的患者提供了运动咨询，但43.3%的人认为他们应该向76 - 100%的患者提供运动咨询。被认为最重要的运动咨询障碍包括时间不足（65.7%）和医学院缺乏运动教育（64.8%）。
家庭医生表示他们目前的运动咨询水平不理想，运动咨询的信心水平也不高。未来为医生提供的教育机会可能有助于改善运动咨询。
