基层医疗服务提供者对高血压预防的建议，DocStyles调查，2012年
Primary Care Providers' Recommendations for Hypertension Prevention, DocStyles Survey, 2012.
作者信息
Fang Jing, Ayala Carma, Loustalot Fleetwood
机构信息
National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
出版信息
J Prim Care Community Health. 2015 Jul;6(3):170-6. doi: 10.1177/2150131915568997. Epub 2015 Feb 4.
BACKGROUND
Healthy behaviors, including maintaining an ideal body weight, eating a healthy diet, being physically active, limiting alcohol intake, and not smoking, can help prevent hypertension. The objective of this study was to determine the prevalence of recommending these behaviors to patients by primary care providers (PCPs) and to assess what PCP characteristics, if any, were associated with making the recommendations.
METHODS
DocStyles 2012, a Web-based panel survey, was used to assess PCPs' demographic characteristics, health-related behaviors, practice setting, and prevalence of making selected recommendations to prevent hypertension. Logistic regression was used to calculate the odds of making all 6 recommendations, by demographic, professional, or personal health behavior characteristics.
RESULTS
Overall, 1253 PCPs responded to the survey (537 family physicians, 464 internists, and 252 nurse practitioners). To prevent hypertension, 89.4% recommended a healthy diet, 89.9% recommended lower salt intake, 90.3% recommended maintaining a healthy weight, 69.4% recommended limiting alcohol intake, 95.1% recommended being physically active, and 90.4% recommended smoking cessation for their patients who smoked. More than half (56.1%) of PCPs recommended all 6 healthy behaviors. PCPs' demographic characteristics and practice setting were not associated with recommending all 6. PCPs who reported participating in regular physical activity (odds ratio [OR] 1.68, 95% confidence interval [CI] 1.05-2.67) and eating healthy diet (OR 1.68, 95% CI 1.11-2.56) were more likely to offer all 6 healthy behavior recommendations than those without these behaviors.
CONCLUSION
Most PCPs recommended healthy behaviors to their adult patients to prevent hypertension. PCPs' own healthy behaviors were associated with their recommendations. Preventing hypertension is a multifactorial effort, and in the clinical environment, PCPs have frequent opportunities to model and promote healthy lifestyles to their patients.
背景
健康行为，包括维持理想体重、饮食健康、积极锻炼、限制酒精摄入以及不吸烟，有助于预防高血压。本研究的目的是确定初级保健提供者（PCP）向患者推荐这些行为的比例，并评估哪些PCP特征（若有的话）与做出这些推荐相关。
方法
使用基于网络的小组调查DocStyles 2012来评估PCP的人口统计学特征、健康相关行为、执业环境以及对预防高血压提出特定推荐的比例。采用逻辑回归分析，根据人口统计学、专业或个人健康行为特征计算做出所有6项推荐的几率。
结果
总体而言，1253名PCP回复了调查（537名家庭医生、464名内科医生和252名执业护士）。为预防高血压，89.4%的人推荐健康饮食，89.9%的人推荐减少盐摄入，90.3%的人推荐维持健康体重，69.4%的人推荐限制酒精摄入，95.1%的人推荐患者积极锻炼，90.4%的人建议吸烟的患者戒烟。超过一半（56.1%）的PCP推荐了所有6项健康行为。PCP的人口统计学特征和执业环境与推荐所有6项行为无关。报告经常进行体育锻炼（比值比[OR]1.68，95%置信区间[CI]1.05 - 2.67）和饮食健康（OR 1.68，95%CI 1.11 - 2.56）的PCP比没有这些行为的PCP更有可能提供所有6项健康行为推荐。
结论
大多数PCP向成年患者推荐健康行为以预防高血压。PCP自身的健康行为与他们的推荐相关。预防高血压是一项多方面的努力，在临床环境中，PCP有很多机会为患者树立榜样并推广健康的生活方式。
Zotero 插件