Abdullah Abu Saleh M, Rahman A S M Mujibur, Suen Chau Wai, Wing Lau Sun, Ling Lau Wai, Mei Li Yuen, Tat Lun Chung, Tai Mak Nin, Wing Tsai Nga, Yuen Wu Tsz, Kwan Yam H
Department of International Health, Boston University School of Public Health, Boston, MA 02118, USA.
J Chin Med Assoc. 2006 Oct;69(10):461-71. doi: 10.1016/S1726-4901(09)70310-7.
Physicians play a crucial role in promoting smoking cessation. However, there are lack of data on Chinese doctors' knowledge, beliefs, attitudes, confidence and usual practices in relation to smoking cessation. Understanding of these indicators is important in the design of any effective intervention program targeting doctors.
To assess Chinese doctors' knowledge, beliefs, attitudes, confidence and usual practices in relation to smoking cessation, a mailed questionnaire survey was conducted among 4,000 doctors registered with the Hong Kong Medical Association (HKMA) in 2002.
Of the 757 respondents (18.9% response rate), 78% were male, 94% were non-smokers and 50% had received no basic training on smoking cessation. More than half of the doctors did not hold adequate knowledge (53%) or favorable attitudes (55%) towards smoking cessation; 44% were less confident in their smoking cessation skills. About 77% of the doctors obtained information on their patients' smoking status and recorded it in their medical record, and 29% advised all smoking patients to quit. Doctors who gave smoking cessation advice were more likely to be aged above 50 years, with more than 30 years' practice experience, working in the private sector, non- or ex-smokers, with more positive beliefs towards smoking cessation, and with higher confidence in smoking cessation skills (p < 0.001). Different factors associated with establishing and recording smoking status, arranging follow-up sessions, acquiring more knowledge and developing a more favorable attitude and greater confidence on smoking cessation-related matters were also identified.
The survey has shown that existing smoking cessation service provision in Hong Kong for patients who smoke is inadequate, and has identified a lack of smoking cessation skills among doctors. Action should be taken to train doctors in smoking cessation skills and encourage them to routinely establish the smoking status of their patients and to advise all smokers to quit smoking.
医生在促进戒烟方面发挥着关键作用。然而，关于中国医生在戒烟方面的知识、信念、态度、信心及日常做法的数据却很匮乏。了解这些指标对于设计任何针对医生的有效干预项目都很重要。
为评估中国医生在戒烟方面的知识、信念、态度、信心及日常做法，2002年对4000名在香港医学会注册的医生进行了邮寄问卷调查。
在757名受访者中（回复率为18.9%），78%为男性，94%为非吸烟者，50%未接受过戒烟方面的基础培训。超过半数的医生对戒烟没有足够的知识（53%）或积极态度（55%）；44%对自己的戒烟技能信心不足。约77%的医生了解患者的吸烟状况并记录在病历中，29%建议所有吸烟患者戒烟。提供戒烟建议的医生更可能年龄在50岁以上，有30多年的从业经验，在私营部门工作，非吸烟者或曾经吸烟者，对戒烟有更积极的信念，且对戒烟技能更有信心（p < 0.001）。还确定了与确定和记录吸烟状况、安排随访、获取更多知识以及对戒烟相关事项形成更积极态度和更大信心相关的不同因素。
调查表明，香港目前为吸烟患者提供的戒烟服务不足，且发现医生缺乏戒烟技能。应采取行动对医生进行戒烟技能培训，并鼓励他们常规确定患者的吸烟状况，并建议所有吸烟者戒烟。
