Yip J K, Hay J L, Ostroff J S, Stewart R K, Cruz G D
Department of Periodontics, New York University College of Dentistry, NY 10010, USA.
J Dent Educ. 2000 Sep;64(9):641-50.
Dentists can be effective in helping their patients achieve smoking cessation. To plan a didactic program, we explored the smoking cessation attitudes and practices of dental students and identified barriers to service provision in the dental setting. We assessed 244 fourth-year dental students at New York University College of Dentistry through a self-report survey. The instrument included a twenty-nine-item measure assessing attitudes towards tobacco-use counseling and adherence to National Cancer Institute tobacco cessation guidelines. The survey also assessed demographics, tobacco use history, and level of preparation to provide services. Generally, students endorsed tobacco prevention practices, but perceived barriers to service provision. Students provided counseling inconsistently, with 69 percent asking about smoking, 58 percent advising cessation, 24 percent offering assistance, and 22 percent providing followup on a routine basis. Those who provided more counseling were more likely to have undergone formal training in smoking cessation, did not feel time was a barrier to counseling, and had more favorable beliefs about dentists' role in promoting smoking cessation. Study findings indicate great receptivity among students as well as a critical need and opportunity to include comprehensive cessation counseling training in the dental curriculum.
牙医在帮助患者戒烟方面可以发挥有效作用。为了规划一个教学项目，我们探讨了牙科学生对戒烟的态度和做法，并确定了在牙科环境中提供戒烟服务的障碍。我们通过一项自我报告调查对纽约大学牙科学院的244名四年级牙科学生进行了评估。该调查问卷包括一项29项的测评，评估对烟草使用咨询的态度以及对美国国立癌症研究所戒烟指南的遵守情况。该调查还评估了人口统计学特征、吸烟史以及提供服务的准备程度。总体而言，学生们认可烟草预防措施，但意识到提供服务存在障碍。学生提供咨询的情况不一致，69%的学生询问吸烟情况，58%的学生建议戒烟，24%的学生提供帮助，22%的学生定期进行跟进。那些提供更多咨询的学生更有可能接受过戒烟方面的正规培训，不觉得时间是咨询的障碍，并且对牙医在促进戒烟方面的作用持有更积极的看法。研究结果表明，学生们对此接受度很高，同时也迫切需要并有机会在牙科课程中纳入全面的戒烟咨询培训。
