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为中国深圳的慢性病患者提供身体活动建议。

Provision of physical activity advice for patients with chronic diseases in Shenzhen, China.

机构信息

Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Shatin, N.T, Hong Kong.

School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, N.T, Hong Kong.

出版信息

BMC Public Health. 2021 Nov 23;21(1):2143. doi: 10.1186/s12889-021-12185-7.

Abstract

BACKGROUND

Physical activity (PA) may best be promoted to patients during clinical consultations. Few studies investigated the practice of PA advice given by physicians, especially in China. This study aimed to investigate the prevalence and contents of PA advice given by physicians in China and its association with patients' characteristics.

METHODS

Face-to-face questionnaire asking the prevalence and contents of PA advice given by physicians was administered to adult patients in three major hospitals in Shenzhen, China. Attitude of compliance, stature, PA level, and socio-demographic information were also collected. Data was analyzed via descriptive statistics and binary logistic regression.

RESULTS

Of the 454 eligible patients (Age: 47.0 ± 14.4 years), only 19.2% (n = 87) reported receiving PA advice, whereas 21.8%, 23.0%, 32.2%, and 55.2% of patients received advices on PA frequency, duration, intensity, and type, respectively. Male patients were more likely to receive PA advice from physicians [odds ratio (OR): 1.81; 95% confidence interval (CI): 1.08-3.05], whereas patients who were unemployed (OR: 0.16; 95% CI: 0.04-0.67), and who already achieved adequate amount of PA (OR: 0.29; 95% CI: 0.12-0.71) were less likely to receive PA advice.

CONCLUSIONS

Prevalence of physicians providing physical activity advice to patients is low, there is a pressing need to take intervention measures to educate healthcare providers.

摘要

背景

体力活动(PA)或许可以在临床咨询期间为患者提供最佳的促进方式。但很少有研究调查医生所提供的 PA 建议的实践情况,尤其是在中国。本研究旨在调查中国医生提供 PA 建议的流行率和内容,并探讨其与患者特征的关系。

方法

我们在中国深圳的三家大医院,面对面地向成年患者发放了一份调查问卷,询问医生提供 PA 建议的流行率和内容。同时还收集了患者的依从态度、身高、PA 水平和社会人口统计学信息。数据分析采用描述性统计和二项逻辑回归。

结果

在 454 名符合条件的患者中(年龄:47.0±14.4 岁),仅有 19.2%(n=87)报告接受了 PA 建议,而分别有 21.8%、23.0%、32.2%和 55.2%的患者接受了关于 PA 频率、持续时间、强度和类型的建议。男性患者更有可能从医生那里获得 PA 建议[比值比(OR):1.81;95%置信区间(CI):1.08-3.05],而失业的患者(OR:0.16;95%CI:0.04-0.67)和已经达到足够 PA 量的患者(OR:0.29;95%CI:0.12-0.71)不太可能获得 PA 建议。

结论

医生向患者提供体力活动建议的流行率较低,迫切需要采取干预措施来教育医疗保健提供者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4c9/8611940/14ddbf6b421e/12889_2021_12185_Fig1_HTML.jpg

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