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首页> 外文期刊>BMC Family Practice >General practitioners' views and experiences of counselling for physical activity through the New Zealand Green Prescription program
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General practitioners' views and experiences of counselling for physical activity through the New Zealand Green Prescription program

机译：全科医生通过新西兰绿色处方计划为体育锻炼提供咨询的观点和经验

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Background Regular physical activity is beneficial in both the prevention and management of chronic health conditions. A large proportion of adult New Zealanders, however, are insufficiently active. To help increase population levels of physical activity in New Zealand the Green Prescription, a primary care physical activity scripting program, was developed. The primary aim of this study was to identify why general practitioners (GPs) counsel for physical activity and administer Green Prescriptions. A secondary aim was to examine GPs' views and experiences of Green Prescription counselling for the management of depression. Methods Individual face-to-face interviews were conducted with 15 GPs. All interviews were audio-taped and transcribed. Data were analysed using an inductive thematic approach. Results Several themes and sub-themes emerged from the data. Notably, GPs counselled for physical activity and prescribed Green Prescriptions for both primary preventive (e.g., weight control) and secondary management (e.g., diabetes management) purposes. GPs reported the benefits of the Green Prescription centred around two main themes: (i) a non-medication approach to a healthier lifestyle and (ii) the support benefits of physical activity. Time constraints within the consultation was the only main theme that emerged regarding the barriers GPs perceived to Green Prescription use. Physical activity in general, and physical activity prescribed through the Green Prescription, were also viewed by GPs as beneficial for the management of depression. Conclusions The results of this study suggest that New Zealand GPs view the Green Prescription program as beneficial for their patients with pre-existing conditions and/or weight problems. While this is encouraging, the Green Prescription may also be used to promote physical activity in currently healthy but low-active and sedentary individuals. Such individuals are currently disease free, but are at risk for future health-related problems because of their inactive lifestyle. It is recommended that time constraints of the consultation in regard to administering Green Prescriptions could be dealt with by delegating the more time consuming tasks to the patient support counsellors that support the Green Prescription program, and having practice nurses assist in the administration of Green Prescriptions. Green Prescription counselling in conjunction with antidepressant medication may be beneficial for the management of depression and warrants further research.
机译：背景技术有规律的体育锻炼对预防和控制慢性健康状况均有益。但是，很大一部分新西兰成年人的活动不足。为了帮助提高新西兰的体育锻炼人口水平，制定了绿色处方（初级保健体育锻炼脚本程序）。这项研究的主要目的是确定为什么全科医生（GPs）进行体育锻炼并管理绿色处方。第二个目的是研究GP的绿色处方咨询和抑郁症管理经验。方法与15名全科医生进行面对面的访谈。所有采访均被录音和转录。使用归纳主题方法分析数据。结果数据中出现了几个主题和子主题。值得注意的是，全科医生为体育锻炼提供了咨询，并为一级预防（例如，体重控制）和二级管理（例如，糖尿病管理）目的开出了绿色处方。全科医生报告说，绿色处方的好处围绕两个主要主题：（i）非药物治疗方式可带来更健康的生活方式，以及（ii）体育锻炼的辅助益处。咨询中的时间限制是关于GP阻碍绿色处方使用的障碍的唯一主要主题。全科医生也认为一般的体育锻炼和通过绿色处方规定的体育锻炼对抑郁症的治疗是有益的。结论这项研究的结果表明，新西兰全科医生认为绿色处方计划对他们已有疾病和/或体重问题的患者有益。尽管这令人鼓舞，但绿色处方也可用于促进目前健康但低活跃和久坐的个人的体育锻炼。这些人目前没有疾病，但是由于他们不活跃的生活方式而面临着未来与健康有关的问题的风险。建议通过将更耗时的任务委托给支持“绿色处方”计划的患者支持顾问，并由执业护士协助管理“绿色处方”，来解决与管理绿色处方有关的咨询时间限制。绿色处方咨询结合抗抑郁药可能对抑郁症的治疗有益，值得进一步研究。

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