Martin J B, Holcomb J D, Mullen P D
J Am Diet Assoc. 1987 May;87(5):609-14.
Fifty-three percent of a random sample of 500 members of the Texas Dietetic Association responded to a survey designed to determine their personal health behavior, beliefs, and patient counseling practices related to health promotion and disease prevention. This article reports the responses of the 180 practitioners involved in direct patient care in order to depict the health promotion/disease prevention beliefs and behaviors of that particular group. Health habits (e.g., smoking, physical activity, and dietary patterns) of dietetic practitioners were better than those of the general female population. Personal health habits related to not smoking and to getting regular exercise were significantly associated with belief in the importance of that behavior for others. Although most of the dietetic practitioners indicated that the identified health behaviors were important to the health of the average person, only a few practitioners gave them routine attention in their practice. Respondents generally expressed a lack of confidence in their ability to educate clients about specified health behaviors, with the exception of weight control, high-fat diets, elevated blood pressure, and exercise patterns. The practitioners' confidence in their counseling skills was significantly correlated with intensity of counseling (p less than or equal to .001) and the likelihood of client compliance, except in the area of weight control. The majority of the dietitians strongly agreed that health promotion will be more important in the future.
对得克萨斯州饮食协会500名成员进行随机抽样,其中53%的人回复了一项旨在确定其个人健康行为、信念以及与健康促进和疾病预防相关的患者咨询做法的调查。本文报告了180名直接参与患者护理的从业者的回复,以便描述该特定群体的健康促进/疾病预防信念和行为。饮食从业者的健康习惯(如吸烟、体育活动和饮食模式)优于一般女性人群。与不吸烟和定期锻炼相关的个人健康习惯与认为该行为对他人很重要的信念显著相关。尽管大多数饮食从业者表示,已确定的健康行为对普通人的健康很重要,但只有少数从业者在实践中对其给予常规关注。除了体重控制、高脂肪饮食、高血压和运动模式外,受访者普遍表示对自己向客户宣传特定健康行为的能力缺乏信心。从业者对其咨询技能的信心与咨询强度(p小于或等于0.001)以及客户依从的可能性显著相关,但在体重控制方面除外。大多数营养师强烈认为,健康促进在未来将变得更加重要。