McLeod D, Somasundaram R, Howden-Chapman P, Dowell A C
General Practice Department, Wellington School of Medicine.
N Z Med J. 2000 Nov 24;113(1122):480-5.
To describe the advice and support New Zealand general practitioners (GPs) reported providing to patients about smoking cessation, to explore barriers encountered in providing this advice, and to compare reported practice with recommended best practice.
450 GPs were surveyed from four different localities using a structured postal questionnaire.
Questionnaires were returned by 283 GPs, giving a response rate of 63%. Approximately one-third of GPs asked every adult patient about their smoking status. Fewer recorded this information in the patient's notes. GPs, based on their own experience, considered nicotine replacement therapy (NRT) and their own advice to quit to be the two most useful smoking cessation strategies. They perceived patient resistance and time pressures as the main barriers limiting their ability to give advice to patients about smoking cessation.
GPs provide smoking cessation advice to many patients, but this needs to be viewed in the context of the New Zealand fee-for-service primary care system and competing demands placed on the limited time available within a consultation. There is potential to increase the practice nurse's involvement in providing smoking cessation advice.
描述新西兰全科医生（GPs）报告的向患者提供戒烟方面的建议和支持，探讨提供该建议时遇到的障碍，并将报告的做法与推荐的最佳做法进行比较。
使用结构化邮政问卷对来自四个不同地区的450名全科医生进行调查。
283名全科医生返回了问卷，回复率为63%。约三分之一的全科医生询问每位成年患者的吸烟状况。较少有人将此信息记录在患者病历中。基于自身经验，全科医生认为尼古丁替代疗法（NRT）和他们自己的戒烟建议是两种最有用的戒烟策略。他们认为患者的抵触情绪和时间压力是限制他们向患者提供戒烟建议能力的主要障碍。
全科医生向许多患者提供戒烟建议，但这需要在新西兰按服务收费的初级保健系统以及咨询中有限时间内的相互竞争需求的背景下看待。增加执业护士参与提供戒烟建议具有潜力。
