Trotter L, Worcester P
Centre for Behavioural Research in Cancer, The Cancer Council Victoria, Melbourne.
Aust Dent J. 2003 Sep;48(3):183-9. doi: 10.1111/j.1834-7819.2003.tb00030.x.
Although dentists are ideally placed to deliver smoking cessation advice and assistance to their patients, smoking cessation interventions are not often incorporated as a routine part of dental care. Research is needed to identify factors that facilitate and inhibit dentists' capacities to deliver smoking cessation advice.
An initial focus group discussion was conducted in Melbourne with 10 dentists. Six Victorian country dentists were interviewed in depth by telephone. Following this qualitative data collection, a random sample of 250 dentists (response rate of 57 per cent) was interviewed by telephone. Dentists were asked about their perceived role, current practices, knowledge of resources and services and opinions on training in relation to smoking cessation.
Dentists are willing to ask and advise patients about smoking, but are less inclined to assist patients to quit or arrange follow-up. Dentists are more likely to implement one-off, opportunistic interventions rather than take a systematic preventive approach. Dentists are interested in attending further education and say they require training to be relevant to the context of their day-to-day running of the dental practice.
Training should aim to legitimize the dentist's role in smoking cessation and provide strategies and resources so that dentists can practise interventions as part of their day-to-day work.
尽管从理想角度而言，牙医最适合为患者提供戒烟建议及帮助，但戒烟干预措施却并不常被纳入牙科护理的常规内容。需要开展研究以确定促进和抑制牙医提供戒烟建议能力的因素。
在墨尔本与10名牙医进行了初步焦点小组讨论。通过电话对6名维多利亚乡村牙医进行了深入访谈。在收集到这些定性数据之后，通过电话对250名牙医的随机样本进行了访谈（回复率为57%）。询问了牙医他们对自身角色的认知、当前做法、对资源及服务的了解情况以及对戒烟培训的看法。
牙医愿意询问并就吸烟问题向患者提供建议，但不太倾向于帮助患者戒烟或安排后续跟进。牙医更有可能实施一次性的、机会性的干预措施，而不是采取系统性的预防方法。牙医对参加继续教育感兴趣，并表示他们需要与牙科诊所日常运营实际情况相关的培训。
培训应旨在使牙医在戒烟方面的角色合法化，并提供策略和资源，以便牙医能够将干预措施作为日常工作一部分加以实施。
