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戒烟咨询:药剂师的观点与实践

Tobacco cessation counseling: pharmacists' opinions and practices.

作者信息

Hudmon Karen Suchanek, Prokhorov Alexander V, Corelli Robin L

机构信息

Department of Epidemiology and Public Health, Yale University School of Medicine, 60 College Street, Room 431, PO Box 208034, New Haven, CT 06520-8034, USA.

出版信息

Patient Educ Couns. 2006 Apr;61(1):152-60. doi: 10.1016/j.pec.2005.03.009.

DOI:10.1016/j.pec.2005.03.009
PMID:16533683
Abstract

OBJECTIVE

As a key interface between patients and the health-care community, pharmacists are uniquely positioned to promote tobacco cessation. The objectives of this study were to: (a) characterize pharmacists' past training and current activities in provision of tobacco interventions, attitudes toward assisting patients with quitting, and interest in receiving specialized training for tobacco cessation counseling; and (b) identify predictors of pharmacists' counseling for tobacco cessation.

METHODS

A 10-page survey was mailed to all licensed pharmacists in four California counties.

RESULTS

Returned surveys (n = 1,168; 54.2% response) indicated that fewer than 8% of pharmacists have received formal training for tobacco cessation counseling, and current levels of counseling are low. Key predictors of cessation counseling include practice setting, pharmacists' race/ethnicity, perceived pros of counseling, and self-efficacy for counseling. Of 715 pharmacists who have direct patient contact, 93% indicated that receiving specialized tobacco cessation counseling training would increase their counseling quality, and 70% indicated that it would increase the number of patients counselled. Eighty-eight percent reported interest in receiving specialized training to obtain these skills.

CONCLUSION

Although few pharmacists have received formal training in tobacco cessation and counseling activities currently are low, there is substantial professional interest in further developing this role.

PRACTICE IMPLICATIONS

Provision of comprehensive training that focuses on promoting self-efficacy for counseling likely will increase pharmacists' tobacco cessation counseling activities.

摘要

目的

作为患者与医疗保健群体之间的关键纽带,药剂师在促进戒烟方面具有独特的地位。本研究的目的是:(a)描述药剂师过去在提供烟草干预方面的培训情况和当前活动、对协助患者戒烟的态度以及接受戒烟咨询专业培训的兴趣;(b)确定药剂师进行戒烟咨询的预测因素。

方法

向加利福尼亚州四个县的所有持牌药剂师邮寄了一份10页的调查问卷。

结果

回收的调查问卷(n = 1,168;回复率54.2%)显示,不到8%的药剂师接受过戒烟咨询的正规培训,目前的咨询水平较低。戒烟咨询的关键预测因素包括执业环境、药剂师的种族/民族、对咨询益处的认知以及咨询的自我效能感。在715名与患者有直接接触的药剂师中,93%表示接受专门的戒烟咨询培训将提高他们的咨询质量,70%表示这将增加接受咨询的患者数量。88%的人表示有兴趣接受专门培训以获得这些技能。

结论

尽管很少有药剂师接受过戒烟方面的正规培训,且目前的咨询活动较少,但药剂师对进一步发展这一角色有着浓厚的专业兴趣。

实践意义

提供侧重于提高咨询自我效能感的全面培训可能会增加药剂师的戒烟咨询活动。

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