Hansen Kenneth Vester, Dibbern Henrik, Bentzon Anders
Forskningsenheden for Almen Praksis i Odense, Syddansk Universitet, 5000 Odense C.
Ugeskr Laeger. 2008 Dec 8;170(50):4121-3.
There is a need for valid tools to help people stop smoking. The aim of this study was to investigate whether or not systematic invitation of patients for a consultation and spirometry and the subsequent follow-up including the identified COPD patients in general practice is expedient in prevention of COPD among smokers.
The entire population of 40-50-year-old patients listed with ten general practitioners in Southern Jutland received a questionnaire and a letter in which smokers were invited to attend a consultation with their GP to have their lung function measured. Patients diagnosed with chronic obstructive pulmonary disease (COPD) were offered renewed testing and guidance to quit smoking.
A total of 2299 questionnaires were sent out, 299 smokers responded (11.3% of the total number of patients), and 185 of the respondents (71.4%) attended an initial consultation. Twelve patients were diagnosed with COPD and thus met the criteria for invitation to renewed testing, but only five accepted the invitation. None of the patients who accepted renewed testing changed their smoking habits.
Systematic invitations for consultation and spirometry in general practice as COPD prevention has proven to be difficult. Various models should be assessed before large scale interventions are implemented.
需要有效的工具来帮助人们戒烟。本研究的目的是调查在全科医疗中，系统地邀请患者进行咨询和肺活量测定以及随后对确诊的慢性阻塞性肺疾病（COPD）患者进行随访，对于预防吸烟者患COPD是否有利。
在南日德兰半岛的十位全科医生处登记的所有40至50岁患者收到了一份问卷和一封信，信中邀请吸烟者与他们的全科医生进行咨询并测量肺功能。被诊断患有慢性阻塞性肺疾病（COPD）的患者被提供再次检测和戒烟指导。
共发出2299份问卷，299名吸烟者回复（占患者总数的11.3%），185名受访者（71.4%）参加了首次咨询。12名患者被诊断患有COPD，因此符合再次检测的邀请标准，但只有5人接受了邀请。接受再次检测的患者中没有人改变他们的吸烟习惯。
事实证明，在全科医疗中系统地邀请进行咨询和肺活量测定作为COPD预防措施是困难的。在实施大规模干预之前，应评估各种模式。
