培训初级医疗临床工作者给予生活方式建议:更复杂的咨询似未能改进患者健康
Training practitioners in primary care to deliver lifestyle advice :More complex counselling may not lead to changes in patients' health
摘要
使用“残疾调整生命年”(DALYs)作为衡量指标,显示不良生活方式及行为是世界范围内导致过早死亡的重要原因。2010年全球疾病负担研究报告显示前三位的健康风险因素为高血L压(7%DALYs)、吸烟(6.3%DALYs)及饮酒(5.5%DALYs)。膳食危险因素和缺乏运动共同组成约10%DALY。
出处
《英国医学杂志中文版》
2013年第3期136-137,共2页
The BMJ Chinese Edition
参考文献13
-
1Lim SS,Vos T,Flaxman AD, Danaei G,Shihuya K,Adair-Rohani H, et aL A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor dusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012 ;380 :2224-60.
-
2Butler CC, Simpson SA, Hood K, Cohen 0, Pickles T, Spanou C, et al. Training practitioners to deliver opportunistic multiple behaviour cbange counselling in primary care: a cluster randomised trial. BM] 2013 ;346 .rnsr.
-
3De Normanville C, Payne K, Ion V. Making every contact count: the prevention and lifestyle behaviour change competency framework. Int ] Health Wellness Soc 2011;1 :227-37.
-
4Goldstein MG, Whitlock EP, DePue J. Multiple behavioral risk factor interventions in primary care: summary of research evidence. Am J Prevent Med 2004 ;27 :61-79.
-
5Jepson R, Harris F, Platt S, Tannahill C. The effectiveness of interventions to change six health behaviours: a review of reviews. BMC Pub Health 2010; 10 :538.
-
6Soderlund LL, Nilsen P, Kristensson M. Learning motivational interviewing: exploring primary health care nurses' training and counselling experiences. Health Educ ] 2008 ;67 : 102-9.
-
7Rollnick S, Mason P, Butler C. Health behaviour change: a guide for practitioners. Churchill Livingstone, 1999.
-
8Kaner E, Bland M, Cassidy P, Coulton S, Dale V, Del.uca P, et al. Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial) : pragmatic duster randomised controlled trial. 8M] 2013 ;346: e8501.
-
9Van Achterberg T, Huisman - De Waal G, Ketelaar N, Oostendorp R, Jacobs J, Wallersheim H. How to promote healthy behaviours in patients? An overview of evidence for behaviour change techniques. Health Prom lnt 2010 ;26: 148-62.
-
10Geirsson M, Bendtsen P, Spak F. Attitudes of Swedish general practitioners and nurses to working with lifestyle change, with special reference to alcohol consumption. Alcohol Alcohol 2005 ;40 :388-93.
-
1沈洪兵,俞顺章.残疾调整生命年(DALY)指标的原理及其统计方法[J].现代预防医学,1999,26(1):66-68. 被引量:18
-
2张安玉.慢性病与危险因素的疾病负担分析——残疾调整生命年及其意义[J].中国慢性病预防与控制,2006,14(5):305-307. 被引量:7
-
3白天元,龚柯铭,苏忠华,王珍,刘雅东,郭传伟.基于企业体检结果的健康风险控制对策探讨[J].职业卫生与病伤,2014,29(2):67-69.
-
4陈穗芬,戴文灿,李卫平,王声湧.1999年澳门地区死因分析[J].中国预防医学杂志,2001,2(4):253-256. 被引量:4
-
5Virginia.生命的延长与人类亚健康[J].绿色中国,2013(3):70-72.
-
6王黎君,殷鹏,刘韫宁,刘江美,齐金蕾,周脉耕.1990年与2013年中国人群肝癌疾病负担研究[J].中华流行病学杂志,2016,37(6):758-762. 被引量:68
-
7杨凤娟,刘美娜,杨晶,张秋菊.利用DALY指标分析艾滋病的疾病负担[J].中国卫生经济,2009,28(2):52-53. 被引量:9
-
8纪文艳,刘美娜,刘庆敏.应用DALY测量哈尔滨市疾病负担[J].黑龙江医学,2002,26(5):388-389. 被引量:4
-
9贾恩志,徐耀初,沈洪兵,周玲,喻荣彬.我国慢性病的疾病负担及其防治策略[J].中华疾病控制杂志,1999,11(3):177-179. 被引量:6
-
10刘美娜,杨凤娟,樊秀娥,杨晶,陈银苹,张秋菊.艾滋病健康生命年损失情况分析[J].中国艾滋病性病,2007,13(2):104-106. 被引量:7