在常规临床护理中实施个性化定制的体育活动处方:医生的过程评估 实施运动 = 医学 项目
Adrie J Bouma1, Joske Nauta2, Femke van Nassau2
1Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Journal of physical activity & health
|July 31, 2024
概括
在荷兰的临床护理中实施"运动是药物" (E = M) 需要量身定制的战略. 项目支持和嵌入式生活方式教练是成功采用E = M的关键推动者.
科学领域:
- 临床医学 临床医学
- 公共卫生 公共卫生
- 医疗保健 实施 科学 科学
背景情况:
- 身体活动的处方在全球范围内被倡导,但并未经常纳入荷兰的临床实践.
- "运动是药" (E = M) 倡议在荷兰广泛采用方面面临挑战.
- 这项研究解决了荷兰医疗保健机构在常规E = M实施中的差距.
研究的目的:
- 试点和评估在常规临床护理中实施"运动是药物" (E = M) 的可行性.
- 确定有效的实施策略,将E = M集成到大学医疗中心.
- 评估临床医生的观点和对E = M采用的障碍.
主要方法:
- 在两个医院部门进行了各种策略的试点实施.
- 使用覆盖范围,效果,采用,实施和维护 (RE-AIM) 框架进行混合方法评估.
- 数据收集涉及评估教育的影响,E = M工具,生活方式教练,推选择和项目支持.
主要成果:
- 充分的项目支持大大促进了E=M的实施.
- 部门内生活方式教练的存在对于实现更高的推率至关重要.
- 虽然临床医生重视E=M工具,但实际障碍限制了其有效使用.
结论:
- 量身定制的实施策略,包括临床医生教育,生活方式教练部署和项目协调,对于E = M集成是有效的.
- 临床医生认为,医院内嵌入式生活方式教练将在未来发挥重要作用.
- 生活方式教练的结构性整合得到了医疗保健提供者对患者转诊的支持.
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