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首页> 外文期刊>Scandinavian journal of primary health care. >The dilemma of patient responsibility for lifestyle change: perceptions among primary care physicians and nurses.
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The dilemma of patient responsibility for lifestyle change: perceptions among primary care physicians and nurses.

机译：患者对生活方式改变负责的困境：基层医疗医生和护士的看法。

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OBJECTIVE: To explore physicians' and nurses' views on patient and professional roles in the management of lifestyle-related diseases and their risk factors. DESIGN: A questionnaire study with a focus on adult obesity, dyslipidemia, high blood pressure, type 2 diabetes, and smoking. SETTING: Healthcare centres in Paijat-Hame hospital district, Finland. SUBJECTS: Physicians and nurses working in primary healthcare (n =220). MAIN OUTCOME MEASURES: Perceptions of barriers to treatment of lifestyle-related conditions, perceptions of patients' responsibilities in self-care, experiences of awkwardness in intervening in obesity and smoking, perceptions of rushed schedules, and perceptions of health professionals' roles and own competence in lifestyle counselling. RESULTS: A majority agreed that a major barrier to the treatment of lifestyle-related conditions is patients' unwillingness to change their habits. Patients' insufficient knowledge was considered as such a barrier less often. Self-care was actively encouraged. Although a majority of both physicians and nurses agreed that providing information, and motivating and supporting patients in lifestyle change are part of their tasks, only slightly more than one half estimated that they have sufficient skills in lifestyle counselling. Among nurses, those with less professional experience more often reported having sufficient skills than those with more experience. Two-thirds of the respondents reported that they had been able to help many patients to change their lifestyles into healthier ones. CONCLUSIONS: The primary care professionals experienced a dilemma in patients' role in the treatment of lifestyle-related diseases: the patient was recognized as central in disease management but also, if reluctant to change, a major potential barrier to treatment.
机译：目的：探讨医师和护士对患者和专业人士在生活方式相关疾病及其危险因素管理中的观点。设计：一项针对成年人肥胖，血脂异常，高血压，2型糖尿病和吸烟的问卷调查研究。地点：芬兰Paijat-Hame医院区的医疗中心。主题：在初级保健中工作的内科医生和护士（n = 220）。主要观察指标：对与生活方式有关的疾病进行治疗的障碍的感知，对患者自我护理责任的认识，对肥胖和吸烟进行干预的尴尬经历，对时间紧迫的观念以及对卫生专业人员的角色和能力的感知在生活方式咨询中。结果：大多数人认为，治疗与生活方式有关的疾病的主要障碍是患者不愿意改变其习惯。患者的知识不足被认为是较少遇到的障碍。积极鼓励自我保健。尽管大多数医生和护士都同意提供信息以及激励和支持患者改变生活方式是他们的任务之一，但只有略微超过一半的人估计他们具有足够的生活方式咨询技能。在护士中，专业经验较少的护士比拥有更多经验的护士更常报告有足够的技能。三分之二的受访者表示，他们能够帮助许多患者将生活方式转变为更健康的生活方式。结论：初级保健专业人员在患者与生活方式相关疾病的治疗中遇到了两难境地：该患者被认为是疾病管理的中心，但如果不愿改变，也是治疗的主要潜在障碍。

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