Ebbert Jon O, Carr Alan B, Patten Christi A, Morris Richard A, Schroeder Darrell R
Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
J Am Dent Assoc. 2007 May;138(5):595-601. doi: 10.14219/jada.archive.2007.0229.
Time and resource constraints limit the ability of oral health care professionals to help patients quit smoking. Opportunities exist for dental providers to help patients who smoke by enrolling them in tobacco use quitlines. The authors conducted a pilot study to investigate whether such referrals were feasible and effective.
The authors randomly assigned eight general dental practices to provide either brief counseling regarding smoking cessation or brief counseling along with referrals to a tobacco use quitline for patients receiving routine dental hygiene care who reported that they were currently smoking cigarettes.
The authors enrolled 82 patients (60 in the tobacco use quitline group, 22 in the brief counseling group). At six months, the self-reported, seven-day point prevalence tobacco use abstinence rates were 25.0 percent (15 of 60 patients) in the tobacco use quitline group and 27.3 percent (six of 22 patients) in the brief-counseling group (P approximately 1.0). Twenty-eight (47 percent) of 60 subjects in the tobacco use quitline group completed the initial tobacco use quitline consultation. Abstinence rates among subjects in the quitline group were higher if they completed more telephone consultations.
Referral to a tobacco use quitline by dental practices is a feasible strategy for helping patients quit smoking if efficient links between the dental practice and the tobacco use quitline can be established. Research is needed to evaluate whether it is more effective than standard clinical interventions for tobacco use cessation.
Dental practitioners with limited time and other resources can assist patients who smoke by referring them to a tobacco use quitline.
时间和资源限制了口腔保健专业人员帮助患者戒烟的能力。牙科服务提供者有机会通过让吸烟患者加入戒烟热线来帮助他们。作者进行了一项试点研究，以调查这种转诊是否可行和有效。
作者随机分配了8个普通牙科诊所，为接受常规牙齿清洁护理且报告目前吸烟的患者，要么提供关于戒烟的简短咨询，要么提供简短咨询并转诊至戒烟热线。
作者招募了82名患者（戒烟热线组60名，简短咨询组22名）。在6个月时,自我报告的7天点患病率戒烟率在戒烟热线组为25.0%（60名患者中的15名），在简短咨询组为27.3%（22名患者中的6名）（P约为1.0）。戒烟热线组的60名受试者中有28名（47%）完成了最初的戒烟热线咨询。如果完成更多电话咨询，戒烟热线组受试者的戒烟率更高。
如果能在牙科诊所和戒烟热线之间建立有效联系，牙科诊所转诊患者至戒烟热线是帮助患者戒烟的一种可行策略。需要进行研究以评估其是否比戒烟的标准临床干预措施更有效。
时间和其他资源有限的牙科从业者可以通过将吸烟患者转诊至戒烟热线来帮助他们。
