Christl Bettina, Chan Bibiana, Laws Rachel, Williams Anna, Davies Gawaine Powell, Harris Mark F
Centre for Primary Health Care and Equity, University of New South Wales, NSW 2052, Australia.
Aust J Prim Health. 2012;18(4):321-6. doi: 10.1071/PY11125.
Lifestyle modification interventions in primary health care settings are an important means of addressing lifestyle risk factors. An essential factor for the success of lifestyle advice is the client's acceptance. Lifestyle interventions offered in general practice are well accepted by clients. However, little is known about how lifestyle interventions are accepted if offered by community nurses in the client's home. This study investigates the experience and perspectives of clients who were offered brief lifestyle interventions from community nurses, based on the 5As model. Semi-structured interviews were conducted with 20 clients who had received brief lifestyle interventions from community nurses as part of a larger intervention trial. All clients perceived the provision of lifestyle interventions to be an appropriate part of the community nurses' role. The advice and support offered was useful only to some, depending on personal preferences, experiences, perceived lifestyle risk and self-rated health. Offering brief lifestyle interventions did not affect the rapport between client and nurse and this puts community nurses in an ideal place to address lifestyle issues that can sometimes be sensitive. However, client-centredness must be emphasised to improve clients' uptake of lifestyle advice and support.
在初级卫生保健机构中进行生活方式调整干预是应对生活方式风险因素的重要手段。生活方式建议成功的一个关键因素是服务对象的接受度。全科医疗中提供的生活方式干预很受服务对象欢迎。然而，对于社区护士在服务对象家中提供生活方式干预时，其接受情况却知之甚少。本研究基于5A模式，调查了接受社区护士简短生活方式干预的服务对象的体验和观点。对20名作为一项更大规模干预试验一部分、接受过社区护士简短生活方式干预的服务对象进行了半结构化访谈。所有服务对象都认为提供生活方式干预是社区护士职责的一个恰当部分。所提供的建议和支持仅对部分人有用，这取决于个人偏好、经历、感知到的生活方式风险和自我评估的健康状况。提供简短的生活方式干预并未影响服务对象与护士之间的融洽关系，这使社区护士处于解决有时可能较为敏感的生活方式问题的理想位置。然而，必须强调以服务对象为中心，以提高服务对象对生活方式建议和支持的接受程度。
