Steinemann Susan, Roytman Timur, Chang Janice, Holzman Jennifer, Hishinuma Earl, Nagoshi Michael, Tam Elizabeth, Murakami Sara, Wong Jan
Department of Surgery, University of Hawaii, John A. Burns School of Medicine, 1356 Lusitana St., 6th Floor, Honolulu, HI 96813, USA.
Am J Surg. 2005 Jan;189(1):44-6. doi: 10.1016/j.amjsurg.2004.03.016.
Surgeons infrequently provide smoking cessation counseling for patients, in part because they lack training to do so. We investigated the efficacy of 2 methods of teaching smoking cessation counseling to surgical residents.
Residents' knowledge and attitude toward smoking cessation counseling were assessed by written test. Counseling skills were assessed with standardized patients. Residents were randomized for smoking cessation education: a "Role-play" group received a 1-hour lecture plus an hour of role-playing. An evidence-based medicine (EBM) group attended a 1- hour EBM journal club on related articles. Changes in residents' knowledge, attitude, and skills were assessed after education.
Sixteen residents completed the study. After either form of education, residents demonstrated significant improvements in knowledge, attitude, and skills in smoking cessation counseling. There was no significant difference in improvement between the EBM and Role-play groups.
A brief educational intervention can significantly improve residents' knowledge, attitude, and counseling skills for smoking cessation.
外科医生很少为患者提供戒烟咨询，部分原因是他们缺乏相关培训。我们调查了两种向外科住院医师传授戒烟咨询方法的效果。
通过笔试评估住院医师对戒烟咨询的知识和态度。使用标准化患者评估咨询技巧。住院医师被随机分配接受戒烟教育：“角色扮演”组接受1小时讲座加1小时角色扮演。循证医学（EBM）组参加关于相关文章的1小时循证医学期刊俱乐部。教育后评估住院医师知识、态度和技能的变化。
16名住院医师完成了研究。经过任何一种形式的教育后，住院医师在戒烟咨询的知识、态度和技能方面都有显著提高。EBM组和角色扮演组在改善程度上没有显著差异。
简短的教育干预可以显著提高住院医师在戒烟方面的知识、态度和咨询技能。
