Underner M, Ingrand P, Allouch A, Laforgue A V, Migeot V, Defossez G, Meurice J C
Centre de Tabacologie, CHU de Poitiers, France.
Rev Mal Respir. 2006 Nov;23(5 Pt 1):426-9. doi: 10.1016/s0761-8425(06)71812-5.
The aim of the study was to establish whether family physicians are influenced by their own smoking habits when issuing prevention messages to patients who smoke.
257 Family physicians of the Vienne Department answered a survey (participation rate: 70%) investigating their own smoking habits and how they approach patients who smoke.
The prevalence of smoking among respondents was 26%; 30% were ex-smokers and 44% had never smoked. Regular smokers (16%) generally smoked 15 cigarettes a day and 49% were nicotine dependent--15% highly so. When consulting, 44% of doctors stated that they systematically addressed smoking habits and 41% declared that they gave minimal smoking cessation advice. Doctors who smoke were less prone to ask their patients whether they smoke (p = 0.036) and whether they had considered quitting (p = 0.045). Unlike those who didn't smoke or had quit smoking, doctors who smoke often believed that their smoking habits had no impact on their relationship with the patients or that it might even make communication with the patient easier (p < 0.0001).
Family physicians' smoking habits have an impact on their interaction with patients who smoke. This must be taken into account in training sessions for smoking cessation.
本研究的目的是确定家庭医生在向吸烟患者提供预防信息时是否会受到自身吸烟习惯的影响。
维也纳省的257名家庭医生回答了一项调查（参与率：70%），该调查询问了他们自身的吸烟习惯以及他们对待吸烟患者的方式。
受访者中吸烟率为26%；30%为曾经吸烟者，44%从未吸烟。经常吸烟者（16%）通常每天吸15支烟，49%对尼古丁有依赖——其中15%依赖程度很高。在诊疗时，44%的医生表示他们会系统地询问吸烟习惯，41%宣称他们提供的戒烟建议很少。吸烟的医生不太倾向于询问患者是否吸烟（p = 0.036）以及是否考虑过戒烟（p = 0.045）。与不吸烟或已戒烟的医生不同，吸烟的医生常常认为他们的吸烟习惯对其与患者的关系没有影响，甚至可能使与患者的沟通更容易（p < 0.0001）。
家庭医生的吸烟习惯会影响他们与吸烟患者的互动。在戒烟培训课程中必须考虑到这一点。
