McDowell N, McKenna J, Naylor P J
School of Physiotherapy and Occupational Therapy, University of the West of England, Bristol.
Br J Sports Med. 1997 Dec;31(4):308-13. doi: 10.1136/bjsm.31.4.308.
To investigate what factors may influence practice nurses to promote physical activity.
Postal questionnaires were sent to all practice nurses in the county of Avon, UK in 1994. Specifically, the questionnaire survey explored whether patient, provider, and practice factors influenced practice nurses promotion behaviour. In addition, the stages of change model was used to measure current levels of promoting behaviour.
A response rate of 80.9% was achieved. Over 80% of the sample reported currently promoting physical activity to some degree. "Promoting" nurses more frequently followed up all (new, established or targeted) patients' activity progress when compared with "restricted promoting" nurses (P < 0.05). Nurses who engaged in regular exercise were more likely to encourage physical activity as a treatment than "irregularly active" nurses (P < 0.05) for five of six clinical groups with the single exception of people with diabetes.
This study shows that the two stage measures (activity promotion and personal behaviour) of the health care professional are associated with important differences in patient and practice factors for physical activity promotion. Further investigations into the content and quality of delivery are required before planning strategies to develop physical activity in the general practice.
探讨哪些因素可能影响执业护士推广体育活动。
1994年向英国埃文郡的所有执业护士邮寄了调查问卷。具体而言，问卷调查探讨了患者、提供者和执业因素是否会影响执业护士的推广行为。此外，采用行为改变阶段模型来衡量当前的推广行为水平。
应答率为80.9%。超过80%的样本报告目前在一定程度上推广体育活动。与“有限推广”的护士相比，“积极推广”的护士更频繁地跟踪所有（新患者、老患者或目标患者）患者的活动进展情况（P < 0.05）。在六个临床组中，除糖尿病患者外，经常锻炼的护士比“不经常锻炼”的护士更有可能将鼓励体育活动作为一种治疗方法（P < 0.05）。
本研究表明，医疗保健专业人员的两个阶段措施（活动推广和个人行为）与促进体育活动的患者和执业因素的重要差异相关。在制定全科医疗中促进体育活动的策略之前，需要进一步调查推广内容和质量。
