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在基层医疗实践中促进身体活动:克服障碍

Promoting Physical Activity in a Primary Care Practice: Overcoming the Barriers.

作者信息

Jones Mitul, Bright Philippa, Hansen Lucia, Ihnatsenka Olga, Carek Peter J

机构信息

University of Florida, Gainesville, Florida (MJ, PB, LH, OI).

Department of Community Health and Family Medicine, College of Medicine, University of Florida, Gainesville, Florida (PJC).

出版信息

Am J Lifestyle Med. 2019 Aug 5;15(2):158-164. doi: 10.1177/1559827619867693. eCollection 2021 Mar-Apr.

Abstract

Along with proper diet and avoidance of tobacco use, physical activity is extremely important to maintain and improve overall health of the individual and population. Despite evidence for the cost-effectiveness of physical activity counseling in primary care, only one-third of patients report that they received physical activity counseling by their primary care physician (PCP). Both PCPs and patients face numerous barriers to addressing insufficient physical activity. To assist patients in overcoming their barriers to regular physical activity, the PCP should assess and address the patient's specific barriers to physical activity and counsel patients about the most common general barriers, such as lack of time, knowledge, and motivation. Numerous benefits and barriers are present, and the PCP should understand them and use the information to better counsel patients regarding the benefit of and need for regular physical activity. Brief counseling is an efficient, effective, and cost-effective means to increase physical activity and to bring considerable clinical benefits to various patient populations.

摘要

除了合理饮食和避免吸烟外,体育活动对于维持和改善个人及人群的整体健康极为重要。尽管有证据表明在初级保健中进行体育活动咨询具有成本效益,但只有三分之一的患者报告称他们从初级保健医生(PCP)那里接受过体育活动咨询。初级保健医生和患者在解决体育活动不足方面都面临诸多障碍。为帮助患者克服定期进行体育活动的障碍,初级保健医生应评估并解决患者进行体育活动的具体障碍,并就最常见的一般障碍,如缺乏时间、知识和动力等,向患者提供咨询。存在诸多益处和障碍,初级保健医生应了解这些,并利用这些信息更好地就定期体育活动的益处和必要性向患者提供咨询。简短咨询是增加体育活动并为各类患者群体带来可观临床益处的一种高效、有效且具有成本效益的方法。

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