对为慢性缺血性心脏病患者提供体育活动建议的经验,感知和态度:德国全科医生的定性研究
Alicia Prinz1, Sabrina Hoppe1, Verena Leve2
1Institute of General Practice (ifam), Patient-Physician-Communication Unit, Centre for Health and Society (chs), Medical Faculty and University Hospital of the Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
Family medicine and community health
|July 5, 2025
概括
一般医生 (GPs) 往往不经常建议缺血性心脏病 (IHD) 患者进行体力活动 (PA),因为他们认为身体活动是无效的,缺乏结构化的沟通工具. 需要培训来改善PA在初级保健中的咨询服务.
科学领域:
- 心脏病学 心脏病学
- 一般的做法一般的做法
- 公共卫生 公共卫生
背景情况:
- 国际和德国的指导方针建议为慢性缺血性心脏病 (IHD) 患者提供体育活动 (PA) 建议.
- 一般医生 (GPs) 报告说,在初级保健中,PA建议的实施不足.
- 在提供PA咨询方面缺乏有效的培训是关键障碍.
研究的目的:
- 为了探索全科医生的经验,感知和态度,关于常规PA建议的IHD患者.
- 识别影响PA咨询在一般实践中的提供障碍和促进者的障碍.
- 为制定有针对性的全科医生培训计划提供信息.
主要方法:
- 与全科医生进行了12次面对面的以问题为中心的采访和6次焦点小组讨论 (n=37).
- 采用了有目的的抽样和代数据收集过程.
- 使用了字面转录和内容结构分析 (演和归纳),并与GP参与.
主要成果:
- 一般医生承认PA对IHD的好处,但很少提供常规建议.
- 与戒烟相比,PA对话是无结构的,一般的,并且没有优先级.
- 一般医生认为PA建议耗时,无效,并希望有结构的沟通策略和工具.
结论:
- 全科医生的洞察力揭示了为IHD患者提供PA建议的当前挑战.
- 结果强调了需要改善的通讯策略和GP的实际工具.
- 这些发现支持一般医生在向心血管疾病患者提供简短的PA建议方面进行具体培训.
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