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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >The association between the receipt of primary care clinician provision of preventive care and short term health behaviour change
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The association between the receipt of primary care clinician provision of preventive care and short term health behaviour change

机译：收到初级保健临床医生之间的关联提供预防性护理和短期健康行为的变化

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Primary healthcare services are recommended to provide preventive care to address chronic disease risk behaviours. However, all care elements are infrequently provided, and there is a need to understand the impact of partial care provision on behaviour change. This study examined the association between variable levels of preventive care receipt from primary care clinicians on short-term behaviour change for four risk behaviours. A survey was undertaken with 5639 Australian community health service clients (2009-2014). Clients self-reported: engagement in risk behaviours (tobacco smoking, harmful alcohol consumption, inadequate fruit and/or vegetable consumption, physical inactivity) in the month prior to and four week post their community health service appointment; receipt of preventive care during appointments (assessment, advice, referral/follow-up) for each behaviour. Univariate regression models explored the association between change in risk status and preventive care received. The odds of behaviour change for those receiving all three care elements was significant for all behaviours, compared to no care, ranging from 2.02 (alcohol consumption, 95% CI 1.16-3.49) to 4.17 (inadequate fruit and/or vegetable consumption, 95% CI 2.91-5.96). Receipt of both assessment and advice increased the odds of behaviour change, compared to no care, for all behaviours except smoking, ranging from 2.32 (physical inactivity, 95% CI 1.60-3.35) to 2.83 (alcohol consumption, 95% CI 1.84-4.33). Receipt of 'assessment only' increased the odds of behaviour change, compared to no care, for inadequate fruit and/or vegetable consumption (OR = 2.40, 95% CI 1.60-3.59) and physical inactivity (OR = 2.81, 95% CI 1.89-4.17). Results highlight the importance of primary care clinicians providing best practice preventive care to maximise client behaviour change.
机译：建议初级医疗服务提供预防性护理以解决慢性疾病风险行为。然而，所有护理元素都不经常提供，并且需要了解部分护理规定对行为变化的影响。本研究审查了从初级保健临床医生对初级保健临床医生进行的可变水平之间的关联对四种风险行为的短期行为变化。采用5639名澳大利亚社区卫生服务客户（2009-2014）进行了一项调查。客户自我报告：在社区卫生服务任命后，在四周之前，在其社区卫生服务任命后，危险行为（烟草吸烟，有害的酒精消费，水果和/或蔬菜消费不足，身体不动度）;为每种行为的预约期间收到预防性护理（评估，建议，推荐/跟进）。单变量回归模型探讨了风险状况变化与收到预防性保健之间的关联。接受所有三种护理元素的人的行为变化的几率对于所有行为都很重要，而不是护理，范围从2.02（酒精消费，95％CI 1.16-3.49）到4.17（水果和/或蔬菜消费不足，95％ CI 2.91-5.96）。收到评估和建议的评估和建议增加了行为变化的几率，因为除了吸烟除外的所有行为相比，从2.32（物理不活跃，95％CI 1.60-3.35）到2.83（酒精消费，95％CI 1.84-4.33 ）。与不小心相比，收到“评估”增加了行为变化的几率，因为水果和/或蔬菜消耗不足（或= 2.40,95％CI 1.60-3.59）和物理不活动（或= 2.81,95％CI 1.89 -4.17）。结果突出了初级保健临床医生提供最佳实践预防性注意力的重要性，以最大限度地提高客户行为的变化。

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