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牙科网络中的戒烟干预措施:基于实践的教育对提供者知识、转诊及药物治疗使用影响的评估

Tobacco cessation interventions in dental networks: a practice-based evaluation of the impact of education on provider knowledge, referrals, and pharmacotherapy use.

作者信息

Havlicek Darla, Stafne Eric, Pronk Nicolaas P

机构信息

HealthPartners Health Behavior Group, Minneapolis, Minn, USA.

出版信息

Prev Chronic Dis. 2006 Jul;3(3):A96. Epub 2006 Jun 15.

PMID:16776897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1637804/
Abstract

Tobacco is a significant risk factor for oral diseases. Dental care providers have the opportunity to inform patients about the risks associated with tobacco use and refer them to tobacco cessation resources. Although dental teams usually ask their patients about their tobacco use, most do not provide tobacco cessation counseling. This project involved four staff-model dental clinics and four contracted network dental clinics. Project goals were to 1) describe current practice patterns of tobacco cessation intervention, 2) increase the use of steps for treatment, known as the 5 As, recommended by the U.S. Public Health Service, 3) increase referrals to a tobacco helpline, and 4) increase use of pharmacotherapy for tobacco dependence treatment. The project included training and program support (e.g., sharing of project data, weekly newsletters, discussion at clinic meetings). Results indicate that this approach to addressing tobacco dependence in a dental clinic setting can effectively change dental provider knowledge and action.

摘要

烟草是口腔疾病的一个重要风险因素。牙科护理人员有机会告知患者与吸烟相关的风险,并为他们提供戒烟资源。虽然牙科团队通常会询问患者的吸烟情况,但大多数团队并不提供戒烟咨询。该项目涉及四家员工型牙科诊所和四家签约网络牙科诊所。项目目标是:1)描述当前戒烟干预的实践模式;2)增加美国公共卫生服务部推荐的治疗步骤(即“5A”法)的使用;3)增加转介至戒烟热线的人数;4)增加使用药物疗法治疗烟草依赖。该项目包括培训和项目支持(例如,分享项目数据、每周时事通讯、在诊所会议上进行讨论)。结果表明,这种在牙科诊所环境中解决烟草依赖问题的方法可以有效地改变牙科医护人员的知识和行为。

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Tobacco cessation interventions in dental networks: a practice-based evaluation of the impact of education on provider knowledge, referrals, and pharmacotherapy use.牙科网络中的戒烟干预措施:基于实践的教育对提供者知识、转诊及药物治疗使用影响的评估
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Am J Prev Med. 2013 Mar;44(3):260-4. doi: 10.1016/j.amepre.2012.10.023.
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Training health professionals in smoking cessation.对卫生专业人员进行戒烟培训。
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Comparison of a high and a low intensity smoking cessation intervention in a dentistry setting in Sweden: a randomized trial.瑞典牙科环境中高强度与低强度戒烟干预措施的比较:一项随机试验。
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本文引用的文献

1
Effectiveness of tobacco counseling in the dental office.牙科诊所中烟草咨询的效果。
J Dent Educ. 2002 Sep;66(9):1079-87.
2
Addressing tobacco in managed care: a survey of dentists' knowledge, attitudes, and behaviors.在管理式医疗中应对烟草问题:对牙医的知识、态度和行为的调查。
Am J Public Health. 2002 Jun;92(6):997-1001. doi: 10.2105/ajph.92.6.997.
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Impact of tobacco use on periodontal status.烟草使用对牙周状况的影响。
J Dent Educ. 2001 Apr;65(4):313-21.
4
Tobacco control activities in U.S. dental practices.美国牙科诊所的控烟活动。
J Am Dent Assoc. 1997 Dec;128(12):1669-79. doi: 10.14219/jada.archive.1997.0129.
5
Do dentists and physicians advise tobacco users to quit?牙医和医生会建议吸烟的人戒烟吗?
J Am Dent Assoc. 1996 Feb;127(2):259-65. doi: 10.14219/jada.archive.1996.0179.
6
Use of tobacco prevention and cessation strategies and techniques in the dental office.牙科诊所中烟草预防与戒烟策略及技巧的应用。
J Am Dent Assoc. 1994 Nov;125(11):1475-84. doi: 10.14219/jada.archive.1994.0230.