综合医院患者对系统性健康风险行为筛查与干预的态度。

General hospital patients' attitude towards systematic health risk behavior screening and intervention.

机构信息

Institute for Medical Psychology, University Medicine Greifswald, Walther- Rathenau-Str. 48, D-17475, Greifswald, Germany.

German Centre for Cardiovascular Research e.V, Partner site Greifswald, Fleischmannstr. 42- 44, D-17475, Greifswald, Germany.

出版信息

BMC Public Health. 2024 Oct 18;24(1):2877. doi: 10.1186/s12889-024-20410-2.

DOI:10.1186/s12889-024-20410-2

PMID:39425090

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11490053/

Abstract

BACKGROUND

Systematic counseling on behavioral health risk factors (HRFs) may be suitable to promote health among general hospital patients. This study aimed to investigate the openness of patients towards systematic screening and intervention of HRFs, its relation to actual participation in a multi-behavioral intervention, and whether socio-economic characteristics, HRFs and health indicators are related to approval.

METHODS

All 18- to 64-year-old patients hospitalized in five medical departments at the University Medicine Hospital Greifswald in Germany were asked between May and July 2022 to participate in a survey and in a subsequent pre-post intervention study. Among all eligible patients, 225 (78.9%) participated in the survey. Patients' approval of systematic screening and intervention of HRFs was assessed using five statements with a total sum score of 0-20 (i.e., scores of 0-6, 7-13, 14-20 referring to low, medium and high approval). Associations with intervention participation, socio-economic, behavioral and health-related patient characteristics were analyzed using logistic and multivariable linear regression analyses.

RESULTS

The mean total approval of screening and intervention was 13.8 (SD = 4.8). Of the 125/ 73/ 16 patients with high/ medium/ low approval, 88.0%/ 78.1%/ 50.0% participated in the subsequent intervention, respectively. Approval was independent of socio-demographic and -economic characteristics and self-rated general health. Current tobacco smoking was the only HRF negatively (p = 0.02) and diabetes mellitus was the only disease positively (p = 0.01) associated with approval.

CONCLUSION

High approval of HRF screening, which was rather independent of socio-economic characteristics and worse self-rated general health, speaks in favor of proactively approaching and motivating all general hospital patients to participate in health behavior change intervention. Tobacco smokers might need higher efforts to motivate participation than non-smokers.

TRIAL REGISTRATION

ClinicalTrials.gov Identifier NCT05365269 on May 9, 2022.

摘要

背景

系统的行为健康风险因素（HRF）咨询可能适合促进综合医院患者的健康。本研究旨在调查患者对 HRF 系统筛查和干预的开放性，及其与实际参与多行为干预的关系，以及社会经济特征、HRF 和健康指标是否与认可相关。

方法

德国格赖夫斯瓦尔德大学医学中心五个医学系的所有 18 至 64 岁住院患者在 2022 年 5 月至 7 月期间被邀请参加一项调查和随后的预-后干预研究。在所有符合条件的患者中，有 225 人（78.9%）参加了调查。使用总分为 0-20 分的五个陈述（即 0-6 分、7-13 分、14-20 分表示低、中、高认可）评估患者对 HRF 系统筛查和干预的认可程度。使用逻辑回归和多变量线性回归分析评估与干预参与、社会经济、行为和健康相关的患者特征的关联。

结果

系统筛查和干预的平均总认可得分为 13.8（SD=4.8）。在高/中/低认可的 125/73/16 名患者中，分别有 88.0%/78.1%/50.0%参与了随后的干预。认可与社会人口统计学和经济特征以及自我评估的一般健康状况无关。当前吸烟是唯一与认可呈负相关的 HRF（p=0.02），而糖尿病是唯一与认可呈正相关的疾病（p=0.01）。