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[阿根廷全科医生关于身体活动的实践与咨询]

[Argentinean general practitioners' practice and counseling regarding physical activity].

作者信息

Ramírez-Cardona Lorena, Trejo-Varón Ruby, Barengo Noel C

机构信息

Instituto Universitario de la Salud, Fundación H. A Barceló, Argentina.

Subdirección de las Enfermedades no Transmisibles, Dirección de la Prevención y Promoción, Ministerio de Salud y Protección Social, Colombia.

出版信息

Rev Salud Publica (Bogota). 2013 May-Jun;15(3):455-64.

Abstract

OBJECTIVE

Investigating general practitioners' (GP) physical activity and to what extent their own physical activity affects counselling their patients in clinical practice.

METHODOLOGY

This was a cross-sectional, exploratory study; sample size was 115 (82 women and 33 men). The survey involved using a self-administered questionnaire at the GPs' annual congress in 2011, using a specially-designed, on-line questionnaire.

RESULTS

This questionnaire revealed that about 76% of the female GPs did give advice concerning physical activity to their patients while the respective prevalence in men was 33 %. Regarding advice concerning physical activity to patients having non-communicable diseases, 73 % of women GPs always seemed to recommend physical activity for them while the corresponding prevalence in men was 27 %. Around 97 % (n=62) of the female GPs and 93 % (n=25) of male GPs asked their patients about their physical activity pattern; however, this study revealed that only 35 % (n=23) of male and 46 % (n=12) of female GPS were actually familiar with the latest recommendations concerning physical activity.

CONCLUSION

No relationship was found between GPs' physical activity level and their counselling in practice concerning physical activity or their current knowledge of the topic. The study showed that GPs stated that physical activity was important for their patients, although few of them engaged in types of physical activity during their leisure-time. There would thus seem to be an urgent need for training GPs in prescribing physical activity at primary healthcare level to increase their patients' involvement in some form of physical activity.

摘要

目的

调查全科医生的身体活动情况,以及他们自身的身体活动在临床实践中对为患者提供咨询的影响程度。

方法

这是一项横断面探索性研究;样本量为115人(82名女性和33名男性)。该调查于2011年在全科医生年会上使用一份专门设计的在线自填问卷进行。

结果

该问卷显示,约76%的女全科医生会向患者提供有关身体活动的建议,而男性的相应比例为33%。对于向患有非传染性疾病的患者提供身体活动建议,73%的女全科医生似乎总是会为他们推荐身体活动,而男性的相应比例为27%。约97%(n = 62)的女全科医生和93%(n = 25)的男全科医生会询问患者的身体活动模式;然而,这项研究表明,实际上只有35%(n = 23)的男性和46%(n = 12)的女性全科医生熟悉有关身体活动的最新建议。

结论

未发现全科医生的身体活动水平与他们在实践中关于身体活动的咨询或他们目前对该主题的知识之间存在关联。该研究表明,全科医生表示身体活动对他们的患者很重要,尽管他们中很少有人在休闲时间进行身体活动。因此,似乎迫切需要在初级医疗保健层面培训全科医生开具身体活动处方,以增加他们的患者参与某种形式的身体活动。

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