Views on the adoption of and advice on healthy lifestyles by health professionals

This article aims to compare the primary care professionals' views on advice on healthy lifestyles before and after an educational intervention. It is a qualitative study conducted with 22 professionals at a health center in Belo Horizonte, state of Minas Gerais, Brazil. A structured interview was applied before and after the educational intervention, and the data were subjected to content analysis. The results show the difficulty professionals have to adopt and provide counseling on healthy lifestyles, with little change in their views after the educational intervention. The difficulties were related to financial and cultural issues, matters related to life and work, and to conservative views. The curative practice with individual accountability and the focus on eating habits and physical activity predominated. It was noted that, after the educational intervention, more professionals was sensitized with the collective educational and recreational activities and with the need for multidisciplinary work. As such, continuity in the professionals' continuing education is seen as necessary to allow for reflection on possible views on health in the contemporary context, encouraging the production of care and autonomy.

本研究旨在对比基层医疗专业人员在接受教育干预前后，对健康生活方式指导的相关观点。本研究为质性研究，研究对象为巴西米纳斯吉拉斯州（Minas Gerais）贝洛奥里藏特市（Belo Horizonte）某卫生中心的22名专业人员。研究团队分别在教育干预前后对受试者实施结构化访谈，并对采集所得数据开展内容分析。结果显示，专业人员在践行与提供健康生活方式指导方面存在困难，且教育干预后其相关观点并未出现显著变化。此类困难涉及财务与文化因素、个人生活与工作相关事宜，以及保守观念的桎梏。研究还观察到，以个体问责为核心的诊疗实践、聚焦饮食习惯与身体活动的指导占据主导地位。教育干预后，更多专业人员意识到集体性教育与文娱活动的重要性，以及开展多学科协作的必要性。因此，持续为专业人员提供继续教育被视为必要之举，这有助于推动从业者反思当代语境下的健康照护理念，鼓励其优化照护实践、提升服务自主性。