Myllymäki Laura, Ruotsalainen Heidi, Kääriäinen Maria
Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.
Medical Research Center Oulu, Oulu, Finland.
Scand J Caring Sci. 2017 Dec;31(4):965-973. doi: 10.1111/scs.12420. Epub 2017 Feb 26.
Adolescents need effective lifestyle counselling precisely because health problems are so common. Good-quality lifestyle counselling can prevent the problems from becoming worse and decrease the costs of health care. Nurse practitioners in schools are well positioned to promote adolescent health.
This study describes adolescents' evaluations of the quality of lifestyle counselling and factors related to it in school-based health care.
The data were collected from seventh- to ninth-grade adolescents (n = 846) using the Counselling Quality Instrument, from two junior high schools in northern Finland. The study employed a web-based survey. Response rate was 67% (n = 563). The data were analysed via descriptive statistics.
Most adolescents (84%) reported that the counselling resources related to school-based health care are quite good. Most of them reported that nutrition (70%) and physical activity (63%) related to lifestyle counselling are sufficient. Approximately half of adolescents (51%) considered the counselling related to substance abuse as being sufficient. Most (80%) felt that the level of interaction during counselling is good. Overall, the majority of adolescents reported that goal-oriented lifestyle counselling (67%) and adolescent-centred counselling (69%) are good. Finally, most adolescents (72%) reported that they have benefitted from lifestyle counselling. Gender and health status were significantly related to resources, interaction and benefits of lifestyle counselling. Girls evaluated that counselling were more adolescent-centred than boys. Adolescents with very good health status evaluated content of lifestyle counselling better than adolescents with poorer health status.
The adolescents evaluated the quality of lifestyle counselling in school-based health care as mainly being good. School nurses should pay particular attention when providing counselling to boys and those who are in poorer health.
青少年非常需要有效的生活方式咨询，因为健康问题极为普遍。高质量的生活方式咨询可以防止问题恶化，并降低医疗保健成本。学校的执业护士在促进青少年健康方面具有得天独厚的优势。
本研究描述了青少年对学校医疗保健中生活方式咨询质量及其相关因素的评价。
使用咨询质量工具，从芬兰北部的两所初中收集了七年级至九年级青少年（n = 846）的数据。该研究采用基于网络的调查。回复率为67%（n = 563）。通过描述性统计分析数据。
大多数青少年（84%）报告说，与学校医疗保健相关的咨询资源相当好。他们中的大多数人报告说，与生活方式咨询相关的营养（70%）和体育活动（63%）充足。大约一半的青少年（51%）认为与药物滥用相关的咨询是足够的。大多数（80%）人认为咨询期间的互动水平良好。总体而言，大多数青少年报告说，以目标为导向的生活方式咨询（67%）和以青少年为中心的咨询（69%）是良好的。最后，大多数青少年（72%）报告说他们从生活方式咨询中受益。性别和健康状况与生活方式咨询的资源、互动和益处显著相关。女孩认为咨询比男孩更以青少年为中心。健康状况非常好的青少年对生活方式咨询内容的评价优于健康状况较差的青少年。
青少年对学校医疗保健中生活方式咨询质量的评价主要为良好。学校护士在为男孩和健康状况较差的学生提供咨询时应格外注意。
