医疗保健ProfessionalâÂÂs利用体育锻炼作为埃塞俄比亚公立医院预防非传染性疾病的战略

M. Kassa, J. Grace
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摘要

背景:尽管人们认识到体育锻炼的好处,包括减少与非传染性疾病(心血管疾病、糖尿病、高血压、癌症)有关的健康风险因素指标、疾病和死亡,但埃塞俄比亚转诊医院的保健专业人员对体育锻炼的认识程度和将其作为一种预防战略的使用程度尚不清楚。目的:本研究探讨了卫生保健专业人员在埃塞俄比亚公共部门医疗保健系统中使用体育锻炼作为非传染性疾病预防策略。方法:对13家埃塞俄比亚转诊医院的312名卫生保健专业人员(护士、医生和医疗管理人员)进行横断面研究。结果:结果表明,在埃塞俄比亚医院工作的四分之三(78%)的卫生保健专业人员没有将体育锻炼作为预防非传染性疾病的策略。专业化程度提高(AOR=20.203, p<0.001)、服务年限长(AOR=0.041, p=0.014)、年龄小(AOR=19.871, p<0.001)和男性(AOR=0.269, p<0.001)是将体育锻炼作为预防非传染性疾病策略的预测因素。结论:在埃塞俄比亚,卫生保健专业人员将体育锻炼作为非传染性疾病预防策略的利用不足。鉴于埃塞俄比亚非传染性疾病的负担日益加重,对护士、医生和医疗管理人员进行培训,使他们将体育锻炼作为一项非传染性疾病预防战略,在本科阶段以及在他们获得资格后通过专门课程进行培训至关重要。
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Healthcare ProfessionalâÂÂs Utilization of Physical Exercise as a Strategy to Prevent NCDs in Ethiopian Public Sector Hospitals
Background: Despite the recognized benefits of physical exercise, including a reduction of health risk factor indicators, illness and death related to Non-Communicable Diseases (NCDs) (cardiovascular disease, diabetes, hypertension, cancer), the extent of its recognition and use as a prevention strategy by healthcare professionals working in Ethiopian referral hospitals is unknown. Objective: This study explored healthcare professionals’ use of Physical exercise as a non-communicable disease Prevention Strategies in the Ethiopian public sector Healthcare System. Methods: A cross-sectional study was conducted among (N=312) health care professionals (nurses, physicians and medical managers) in 13 Ethiopian referral hospitals. Results: The results indicated thatthree quarters (78%) of healthcare professionals working in Ethiopian hospitals are not using physical exercise as a strategy to prevent NCDs. Increased specialization (AOR=20.203, p<0.001), many service years (AOR=0.041, p=0.014), young age (AOR=19.871, p<0.001), and being men (AOR=0.269, p<0.001) were predictors of using physical exercise as a strategy for NCDs prevention. Conclusion: Healthcare professionals’ utilization of physical exercise as a strategy for NCDs prevention was inadequate in Ethiopia. Given the increasing burden of NCD disease in Ethiopia, training nurses, physicians and medical managers to use physical exercise as an NCD prevention strategy is essential at undergraduate level for as well as through specialized courses once they are qualified.
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