Gault R, Yeater R A, Ullrich I H
Department of Medicine, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown.
W V Med J. 1994 Sep;90(9):364-6.
Physicians educate their patients by direct teaching and by serving as a role model. Through the use of questionnaires, we evaluated the degree to which physicians in West Virginia participate in these activities. Thirty-five percent of the 2,404 licensed physicians in the state returned completed questionnaires. Although 90% prescribed appropriate diets and recommended exercise for their patients, the physicians who responded were often less likely to follow their own advice. Twenty percent of the male physicians and 13% of the female doctors were obese; 30% had LDL cholesterol levels over 130 mg./dl.; 13% had HDL cholesterol values of less than 35 mg./dl.; and 8% had triglycerides over 250 mg./dl. Participation in regular exercise (30 minutes three times per week) was reported by 48% of the male physicians and 47% of the female physicians. Eight percent of the men were smokers, as were 1.9% of the females. These results suggest that the role model aspect of patient education may need to be improved among some West Virginia physicians. It is an inexpensive method of directing attention to lifestyle in order to decrease preventable disorders such as coronary artery disease, obesity, diabetes, and hypertension.
医生通过直接教导和树立榜样来教育患者。通过问卷调查，我们评估了西弗吉尼亚州的医生参与这些活动的程度。该州2404名持照医生中有35%返还了填好的问卷。尽管90%的医生为患者开出了适当的饮食建议并推荐了锻炼，但做出回应的医生往往不太可能遵循自己的建议。20%的男医生和13%的女医生肥胖；30%的人低密度脂蛋白胆固醇水平超过130毫克/分升；13%的人高密度脂蛋白胆固醇值低于35毫克/分升；8%的人甘油三酯超过250毫克/分升。48%的男医生和47%的女医生报告称会定期锻炼（每周三次，每次30分钟）。8%的男性吸烟，女性吸烟比例为1.9%。这些结果表明，西弗吉尼亚州的一些医生在患者教育的榜样方面可能需要改进。这是一种引导人们关注生活方式以减少诸如冠状动脉疾病、肥胖、糖尿病和高血压等可预防疾病的低成本方法。
