Practice And Effect Evaluation Analysis Of The Integration Of Sports And Medicine In The Training Of Grassroots General Practitioners

Objective:A questionnaire was designed to understand the understanding and implementation of the integration of sports and medicine in the management of chronic diseases in primary medical institutions in Shanxi Province;according to the questionnaire,the training content and training program of physical and medical integration for chronic disease management of grassroots general practitioners were formulated;the medical staff of community health service centers and stations,township hospitals and village clinics in Shanxi Province were selected for chronic disease exercise prescription training,and the training effect was evaluated and analyzed.Taking the application of hypertension exercise prescription in the training of grass-roots general practitioners in Shanxi Province as a breakthrough point,this paper looks for the feasible practical experience of integrating physical medicine into grass-roots medical institutions in Shanxi Province.Methods:A questionnaire on chronic disease exercise prescription for primary general practitioners was designed by referring to relevant literature,expert consultation and data retrieval.The questionnaire was distributed through the questionnaire star platform,and the primary general practitioners of primary medical and health institutions such as community health service centers and stations,township hospitals and village clinics in Shanxi Province were taken as the survey objects.Before the formal survey,50 subjects were randomly selected from the survey objects for pre-survey.The pre-survey results were used to test the reliability of the questionnaire,and a formal questionnaire on chronic disease exercise prescription was formed.The formal questionnaire was conducted in April 2022.The primary doctors of 49 primary medical and health institutions such as community health service centers and stations,township hospitals and village clinics in 11prefecture-level cities in Shanxi Province were selected as the survey objects.The survey contents included the general situation of the survey objects and the questionnaire on the implementation of exercise prescription(designed according to the dimension of knowledge,attitude and practice).From May to June 2022,the training of hypertension exercise prescription was carried out.184 primary general practitioners such as community health service centers and stations,township hospitals and village clinics in Yangqu,Daning and Yonghe counties of Shanxi Province were investigated for their knowledge of hypertension exercise therapy before and after training.It provides a model for future training.Results:The knowledge score of hypertension exercise prescription implementation of grassroots general practitioners was(52.23 ± 7.74),the attitude score was(31.68 ±5.93),and the behavior score was(30.21 ± 4.96).Multiple linear regression analysis showed that education background was the influencing factor of the knowledge dimension of hypertension exercise prescription implementation.Whether to obtain the qualification certificate of practicing(assistant)physician was the common influencing factor of knowledge and behavior dimension.The major,whether to complete standardized training,whether to understand the implementation of hypertension exercise prescription before,and the satisfaction of previous related training were the common influencing factors of hypertension exercise prescription implementation.After training,the objective test of hypertension exercise prescription related knowledge of grassroots general practitioners was higher than that before training.After training,the scores of primary general practitioners in the four dimensions of pre-exercise health screening,physical fitness assessment,exercise prescription and exercise prescription implementation and feedback were higher than those before training.Compared with traditional training,trainees are more inclined to participate in theoretical training combined with workshop training.Conclusion:The grassroots general practitioners in Shanxi Province lack the relevant normative knowledge of hypertension exercise prescription,and their attitude is relatively positive,which still needs to be improved in practice.Training in this area can be strengthened for relevant influencing factors to improve the skills of grassroots doctors in chronic disease management.Hypertension exercise therapy training combined with workshop exercises can improve the knowledge level of hypertension exercise therapy for grassroots general practitioners.Compared with traditional training,grassroots general practitioners are more inclined to participate in the training mode of lectures combined with workshops.