Lawrance Kelli-an G, Lawler Sharon A
Brock University, Canada.
Patient Educ Couns. 2008 Feb;70(2):187-92. doi: 10.1016/j.pec.2007.09.022. Epub 2007 Nov 26.
About one-quarter of Canadian post-secondary students smoke cigarettes. We examined how physicians from Ontario university health clinics intervene with these young adult smokers.
A convenience sample of 16 universities was identified and surveys were hand-delivered to all 228 physicians from these schools. A total of 125 doctors (54.82%) responded; 70 were from universities that were involved in a government-sponsored, coordinated, multi-campus, tobacco control initiative.
Twenty percent of doctors reported asking all or almost all patients about tobacco use; 25.22% asked fewer than half. Describing how they respond to patients identified as smokers, 96.00% of physicians advised cessation, 72.00% offered assistance, and 64.00% arranged for follow-up. Doctors discussed patients' tobacco use with 78.59% of smokers. Nicotine replacement therapies were rarely offered to patients wanting to quit. Doctors from universities involved in the tobacco control initiative were more likely to keep patient education materials in the examining room.
Because most doctors ask only some patients about tobacco use, they may be missing opportunities to provide appropriate advice and assistance to all smokers.
Physician education and support to the clinic are needed to improve the frequency and quality of physician-delivered smoking cessation services to post-secondary students.
约四分之一的加拿大高等院校学生吸烟。我们研究了安大略省大学健康诊所的医生如何干预这些年轻成年吸烟者。
确定了16所大学的便利样本，并将调查问卷亲手分发给这些学校的所有228名医生。共有125名医生（54.82%）做出回应；其中70名来自参与政府资助、协调的多校区烟草控制倡议的大学。
20%的医生报告称会询问所有或几乎所有患者的吸烟情况；25.22%的医生询问的患者不到一半。在描述他们对被确定为吸烟者的患者的应对方式时，96.00%的医生建议戒烟，72.00%的医生提供帮助，64.00%的医生安排随访。医生与78.59%的吸烟者讨论了他们的吸烟情况。很少向想戒烟的患者提供尼古丁替代疗法。参与烟草控制倡议的大学的医生更有可能在检查室保留患者教育材料。
由于大多数医生只询问部分患者的吸烟情况，他们可能错失了向所有吸烟者提供适当建议和帮助的机会。
需要对医生进行教育并为诊所提供支持，以提高医生为高等院校学生提供戒烟服务的频率和质量。
