Department of Health, Sport and Exercise Science, Waterford Institute of Technology, Cork Road, Waterford, Ireland.
Fam Pract. 2010 Apr;27(2):219-23. doi: 10.1093/fampra/cmp086. Epub 2009 Dec 11.
There is limited information in Ireland on the attitudes of GPs and practice nurses to lifestyle counselling and the strategies or approaches they use. Furthermore, there is no national framework or resources to support the systematic and uniform provision of lifestyle counselling.
To explore the views of Irish primary health care practitioners about behavioural risk factor management in particular to the provision of lifestyle counselling. To identify barriers to behavioural risk factor management and to inform the development of a risk factor management toolkit for general practice.
The research design is a qualitative study consisting of six focus groups with primary health care practitioners in urban and rural locations in the Republic of Ireland. Two focus groups were conducted with GPs, two with practice nurses, one with a mixed group of GPs and practice nurses and one with a Primary Care Team. In total, 56 participants, aged 30-64 years, attended the focus groups. Descriptive analysis was performed.
GPs and practice nurses experienced considerable barriers to lifestyle counselling. These include insufficient time, patient resistance, lack of funding for prevention and lack of training. Participants were aware of the value of patient-centred lifestyle counselling; however, the provision of simple lifestyle information and advice was the predominant strategy used.
GPs and practice nurses regularly conduct lifestyle counselling despite considerable barriers. It is essential that they are supported to carry out lifestyle counselling as part of a systematic 'whole practice approach' to prevention in general practice.
爱尔兰关于全科医生和执业护士对生活方式咨询的态度以及他们使用的策略或方法的信息有限。此外，没有国家框架或资源来支持系统和统一地提供生活方式咨询。
探讨爱尔兰初级保健从业者对行为风险因素管理的看法，特别是提供生活方式咨询的看法。确定行为风险因素管理的障碍，并为一般实践中的风险因素管理工具包的开发提供信息。
研究设计是一项定性研究，包括在爱尔兰共和国的城市和农村地区进行的六组焦点小组。其中两组是针对全科医生的，两组是针对执业护士的，一组是针对全科医生和执业护士的混合小组，还有一组是针对初级保健团队的。共有 56 名年龄在 30-64 岁之间的参与者参加了焦点小组。进行了描述性分析。
全科医生和执业护士在生活方式咨询方面面临着相当大的障碍。这些障碍包括时间不足、患者抵制、预防资金不足和缺乏培训。参与者意识到以患者为中心的生活方式咨询的价值；然而，提供简单的生活方式信息和建议是他们使用的主要策略。
尽管存在相当大的障碍，全科医生和执业护士还是定期进行生活方式咨询。至关重要的是，他们需要得到支持，以便将生活方式咨询作为一般实践中系统的“整体实践方法”的一部分来进行预防。
