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影响患者遵守运动建议意愿的医生因素。

Physician factors affecting patient willingness to comply with exercise recommendations.

作者信息

Harsha D M, Saywell R M, Thygerson S, Panozzo J

机构信息

Department of Family Medicine, School of Public and Environmental Affairs, Indiana University, Indianapolis 46202-5102, USA.

出版信息

Clin J Sport Med. 1996 Apr;6(2):112-8. doi: 10.1097/00042752-199604000-00009.

DOI:10.1097/00042752-199604000-00009
PMID:8673568
Abstract

OBJECTIVE

To evaluate how physician factors such as weight, exercise habits, and humanistic traits could influence patient willingness to comply with exercise recommendations.

DESIGN

Survey questionnaire.

SETTING

University-based Family Medicine Clinic.

PATIENTS

411 consecutive established patients of the Family Medicine Clinic.

MAIN OUTCOME MEASURES

Selected Physician characteristics that patients believed would increase their willingness to comply with exercise recommendations. Results were compared with patient demographics to determine possible effects of physician characteristics on patients acceptance of exercise recommendations.

RESULTS

Patients with higher education levels could be positively influenced by a physician being of appropriate weight, a regular exerciser, and a nonsmoker, and enlisting use of other experts, negotiating an exercise program, providing exercise counseling, and being their primary provider. Patients with higher income levels could be positively related to a physician's being of appropriate weight, and a nonsmoker, negotiating an exercise program, and enlisting use of other experts. Female patients could be positively influenced by physicians being well groomed, well dressed, accessible, and good listeners. Patients who regularly exercise could be positively influenced by a physician's appropriate weight and exercise regimen.

CONCLUSIONS

Physicians may have a positive impact on patient willingness to comply by prescribing exercise and providing education and detailed guidance for all candidates. The study also showed that physicians' negotiating exercise programs and being good "exercise" role models is very important.

摘要

目的

评估体重、运动习惯和人文特质等医生因素如何影响患者遵守运动建议的意愿。

设计

调查问卷。

地点

大学附属家庭医学诊所。

患者

家庭医学诊所连续就诊的411名成年患者。

主要观察指标

患者认为会增加其遵守运动建议意愿的特定医生特征。将结果与患者人口统计学数据进行比较,以确定医生特征对患者接受运动建议的可能影响。

结果

受教育程度较高的患者可能会受到以下医生因素的积极影响:体重适中、经常锻炼、不吸烟、寻求其他专家的帮助、协商制定运动计划、提供运动咨询以及作为其主要医疗服务提供者。收入水平较高的患者可能与医生体重适中、不吸烟、协商制定运动计划以及寻求其他专家的帮助呈正相关。女性患者可能会受到穿着得体、易于接近且善于倾听的医生的积极影响。经常锻炼的患者可能会受到体重适中且有运动计划的医生的积极影响。

结论

医生通过为所有患者开具运动处方并提供教育和详细指导,可能会对患者遵守运动建议的意愿产生积极影响。该研究还表明,医生协商制定运动计划并成为良好的“运动”榜样非常重要。

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