Peterson Jane Anthony
University of Missouri, Kansas City, Missouri, USA.
J Am Acad Nurse Pract. 2007 Jul;19(7):349-57. doi: 10.1111/j.1745-7599.2007.00239.x.
The purpose of this article is to present strategies to improve the effectiveness of physical activity counseling for adults in primary care settings. Adoption of physical activity can be part of a healthy lifestyle to prevent or manage many chronic and debilitating conditions, including cardiovascular disease, diabetes, hypertension, and obesity.
Original research articles reporting results from descriptive studies and clinical trials testing the effectiveness of physical activity counseling in primary care. Journal articles and Web sites are cited as patient and professional resources.
Despite conflicting research findings on the effectiveness of physical activity counseling in primary care, the importance of an active lifestyle in promoting health and well-being is well known. Yet, only one third of all Americans attain adequate daily physical activity. Implementing physical activity counseling in primary care is one method to promote active lifestyles. Some strategies to promote physical activity counseling in primary care settings are identified, including use of the Five A's approach and printed materials. Suggestions to manage the barriers primary care providers experience with physical activity counseling include brief counseling sessions involving all members of the health team.
The implementation of a brief physical activity counseling intervention in primary care settings is presented as a promising method to promote physical activity in adults. Nurse practitioners can deliver this counseling in a succinct, well-planned session to promote physical activity and reduce the potential devastating consequences associated with a sedentary lifestyle.
本文旨在介绍提高基层医疗环境中成人身体活动咨询效果的策略。进行身体活动可成为健康生活方式的一部分,以预防或管理多种慢性和使人衰弱的疾病,包括心血管疾病、糖尿病、高血压和肥胖症。
报告描述性研究结果以及测试基层医疗中身体活动咨询效果的临床试验结果的原创研究文章。引用期刊文章和网站作为患者及专业资源。
尽管关于基层医疗中身体活动咨询效果的研究结果相互矛盾,但积极的生活方式在促进健康和幸福方面的重要性是众所周知的。然而,只有三分之一的美国人每天进行足够的身体活动。在基层医疗中实施身体活动咨询是促进积极生活方式的一种方法。确定了一些在基层医疗环境中促进身体活动咨询的策略,包括使用“5A”方法和印刷材料。应对基层医疗提供者在身体活动咨询中遇到的障碍的建议包括由健康团队所有成员参与的简短咨询会议。
在基层医疗环境中实施简短的身体活动咨询干预被视为促进成人身体活动的一种有前景的方法。执业护士可以在简洁、精心规划的会议中提供这种咨询,以促进身体活动并减少与久坐生活方式相关的潜在严重后果。