Edwards David, Freeman Toby, Roche Ann M
Quality Uses of Medicines and Pharmacy Research Centre, University of South Australia.
Health Promot J Austr. 2006 Aug;17(2):145-51. doi: 10.1071/he06145.
Dentists and dental hygienists are important but under-used professionals in the delivery of smoking cessation services. This study compared confidence and barriers among dentists and dental hygienists and analysed the impact of barriers on smoking cessation activities.
Participants were surveyed on their confidence, perceived barriers, level of smoking cessation activity and practice and demographic factors.
Fifty-eight dental hygienists (83% response rate) and 334 dentists (54% response rate) practising in South Australia responded to the survey. Participants indicated high rates of advising patients to quit smoking, but low rates of assisting and referring patients. Hygienists reported greater levels of activity and confidence, fewer barriers and longer consultation times. Confidence, system barriers, and practitioner barriers emerged as the most important predictors of service provision for both dentists and hygienists. Reported levels of smoking-specific education and training were very low (dentists 4%, hygienists 6%).
There is potential to increase dentists' and dental hygienists' rates of smoking cessation activity, particularly for the more proactive strategies such as assisting patients to quit and arranging referrals.
在提供戒烟服务方面，牙医和口腔保健员是重要但未得到充分利用的专业人员。本研究比较了牙医和口腔保健员之间的信心和障碍，并分析了障碍对戒烟活动的影响。
对参与者进行了关于他们的信心、感知到的障碍、戒烟活动水平以及执业和人口统计学因素的调查。
在南澳大利亚执业的58名口腔保健员（回复率83%）和334名牙医（回复率54%）对调查做出了回应。参与者表示，向患者提供戒烟建议的比例较高，但协助和转诊患者的比例较低。口腔保健员报告的活动水平和信心更高，障碍更少，咨询时间更长。信心、系统障碍和从业者障碍是牙医和口腔保健员提供服务的最重要预测因素。报告的吸烟特定教育和培训水平非常低（牙医4%，口腔保健员6%）。
有可能提高牙医和口腔保健员的戒烟活动率，特别是对于更积极主动的策略，如协助患者戒烟和安排转诊。
