论文部分内容阅读
目的:调查太原市全科医学师资对运动处方知识的知晓及运用情况,探讨影响因素,为运动处方进一步推广、培训及实施提供理论依据。方法:2021年7—9月采用分层随机抽样法,抽取太原市全科医学师资作为研究对象进行问卷调查,了解其运动处方知晓和运用情况,并采用logistic回归分析知晓情况的影响因素。结果:共纳入研究对象589人,女性342人(58.06%);运动处方总的知晓率为38.74%(1 369/3 534),基础知识知晓率为56.08%(991/1 767);核心知识知晓率为21.39%(378/1 767)。Logistic分析结果显示,全科专业(n OR=1.66,95%n CI:1.07~2.57,n P=0.024)、接触过运动处方(n OR=2.07,95%n CI:1.37~3.12,n P=0.001)以及愿意科普运动益处(n OR=2.08,95%n CI:1.05~4.15,n P=0.037)的全科医学师资知晓率更高。给患者进行过运动处方指导的全科医学师资占39.22%(231/589),运动指导形式多为口头+具体行为指导(54.11%,125/231),会指导患者运动前进行健康筛查(89.18%,206/231)和健康体适能评价(79.65%,184/231),理论指导依据多来自教科书或相关指南(42.42%,98/231),但均未按照规范开具运动处方。n 结论:太原市全科医学师资运动处方知识知晓率较低,获取知识来源单一,运动处方运用情况欠规范,应开展多渠道、多途径的运动处方知识宣传培训与学习。“,”Objective:To investigate the awareness and application of exercise prescription among general practice faculty in Taiyuan City, and to analyze the related factors.Methods:A questionnaire survey on the awareness and application of exercise prescriptions was conducted from July to September 2021 among general practice faculty in Taiyuan City selected by stratified random sampling method. The influencing factors of awareness and application were analyzed with logistic regression.Results:A total of 589 general practice faculty were enrolled in the study, 342 of whom were females (58.06%). The overall awareness rate of exercise prescription was 38.74% (1 369/3 534); the awareness rate of basic knowledge was 56.08% (991/1 767) and the awareness rate of core knowledge was 21.39% (378/1 767). Logistic analysis showed that specialty as general practitioner (n OR=1.66, 95%n CI:1.07-2.57, n P=0.024), experience of exercise prescriptions (n OR=2.07, 95%n CI:1.37-3.12, n P=0.001) and willingness of public promotion of exercise benefits (n OR=2.08, 95%n CI:1.05-4.15, n P=0.037) were factors related to higher awareness of exercise prescription. The survey showed that 231 responders (39.22%) had given patients exercise guidance, among whom 125 (54.11%) gave oral and specific practice guidance, 206 (89.18%) would ask patients to perform health screening before exercise, and 184 (79.65%) performed health fitness evaluation. The knowledge used for guidance was mostly from textbooks or related guidelines (42.42%, n n=98), but none of them had prescribed standardized exercise prescriptions.n Conclusions:The survey shows that the knowledge and application rate is relatively low among general practice faculty in Taiyuan City. It is necessary to strengthen the training of exercise prescription for them.