在初级保健中体育活动咨询的流行:系统性审查和元分析
Apichai Wattanapisit1,2, Sarawut Lapmanee3, Sirawee Chaovalit4
1Department of Clinical Medicine, School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand.
Health promotion perspectives
|January 18, 2024
概括
在初级保健机构中,体育活动 (PA) 咨询的流行率很低,影响了近三分之二的患者. 标准化PA咨询实践对于提高其有效性至关重要.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 主要护理是指初级护理.
背景情况:
- 身体活动 (PA) 咨询是初级保健中促进健康的关键干预措施.
- 本综述评估了PA咨询在初级保健机构当前的流行程度.
研究的目的:
- 系统地审查和评估体育活动 (PA) 咨询在初级保健中提供的普及率.
- 确定影响不同患者群体提供和接受PA咨询的因素.
主要方法:
- 在五个主要数据库 (CINAHL Complete,Embase,Medline,PsycInfo,Web of Science) 进行了全面的搜索.
- 包括主要流行病学研究报告的PA辅导在初级保健.
- 通过Joanna Briggs研究所的批判性评估检查清单来评估研究质量;审查协议已在PROSPERO注册.
主要成果:
- 在35项研究 (199,830名参与者) 中,PA咨询的综合流行率为37.9%.
- 亚组分析显示出差异:33.1%的女性,32.1%的男性,65.5%的糖尿病患者,41.6%的高血压患者,56.8%的超重/肥胖患者.
- 在元分析中观察到高异质性 (I2=93%100%),表明显著的变化.
结论:
- 目前,在初级保健中,体育活动咨询的使用率还不足.
- 显著的异质性凸显了PA咨询服务的不一致性.
- 建议对PA咨询协议进行标准化,以最大限度地提高其对公共健康的影响.
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