Haynes Charlotte L
Clinical Effectiveness Unit, Stockport NHS Foundation Trust, Cheshire, UK.
BMC Public Health. 2008 Aug 13;8:284. doi: 10.1186/1471-2458-8-284.
UK public health policy requires hospitals to have in place health promotion services which enable patients to improve their health through adopting healthy behaviours, i.e. health education. This study investigated hospitalised patients' experiences of health education for smoking, alcohol use, diet, physical activity, and weight, and their views concerning the appropriateness of hospitals as a setting for the delivery of health education services.
Recently discharged adult hospital patients (n = 322) were sent a questionnaire asking about their smoking, alcohol use, diet, physical activity, and weight. For each of these risk factors, participants were asked whether they agreed with screening for the risk factor, whether they received health education, whether it was "helpful", and if they wanted to change their behaviour. Participants were also asked a set of general questions concerning health education within hospitals.
190 patients responded (59%). Over 80% agreed with screening for all risk factors. 80% of smokers, 52% consuming alcohol above recommended limits, 86% of obese, 66% consuming less than five fruit and vegetables a day, and 61% of physically inactive participants wanted to change their respective behaviour. However only a third reported receiving health education. While over 60% of patients wanted health education around discharge, the majority of those receiving health education did so at admission. The majority agreed that "hospital is a good place for patients to receive" health education (87%) and that "the hospital should provide patients with details of community organisations that provide" health education (83%). Only a minority (31%) reported a preference for health education from their GP instead of hospital.
While the delivery of health education to patients within hospital was poor, hospitals are viewed by patients as an appropriate, and in some cases preferred setting for the screening of risk factors and delivery of health education.
英国公共卫生政策要求医院提供健康促进服务，使患者能够通过采取健康行为来改善健康状况，即进行健康教育。本研究调查了住院患者在吸烟、饮酒、饮食、体育活动和体重方面的健康教育经历，以及他们对医院作为提供健康教育服务场所的适宜性的看法。
向近期出院的成年住院患者（n = 322）发放问卷，询问他们的吸烟、饮酒、饮食、体育活动和体重情况。对于每一项风险因素，参与者被问及是否同意对该风险因素进行筛查、是否接受过健康教育、健康教育是否“有帮助”，以及他们是否想要改变自己的行为。参与者还被问及一系列关于医院内健康教育的一般性问题。
190名患者做出了回应（59%）。超过80%的人同意对所有风险因素进行筛查。80%的吸烟者、52%饮酒量超过推荐限量者、86%的肥胖者、66%每天食用水果和蔬菜不足五种者以及61%缺乏体育活动的参与者想要改变各自的行为。然而，只有三分之一的人报告接受过健康教育。虽然超过60%的患者希望在出院前后接受健康教育，但大多数接受健康教育的患者是在入院时接受的。大多数人同意“医院是患者接受”健康教育的好地方（87%），以及“医院应该向患者提供提供”健康教育的社区组织的详细信息（83%））。只有少数人（31%）表示更倾向于从他们的全科医生而非医院接受健康教育。
虽然医院向患者提供健康教育的情况不佳，但患者认为医院是筛查风险因素和提供健康教育的合适场所，在某些情况下甚至是首选场所。
