Aboyans Victor, Pinet Pauline, Lacroix Philippe, Laskar Marc
Department of Thoracic and Cardiovascular Surgery and Vascular Medicine, Dupuytren University Hospital, 2, avenue Martin-Luther-King, 87042 Limoges, France.
Arch Cardiovasc Dis. 2009 Mar;102(3):193-9. doi: 10.1016/j.acvd.2009.01.005. Epub 2009 Mar 19.
While cardiologists are very active in the prevention of cardiovascular disease, their attitudes towards patients' smoking habits are poorly studied.
In a nationwide French survey, we assessed cardiologists' levels of knowledge and management of smoking cessation.
We sent out a questionnaire to a random sample of 1000 cardiologists.
A total of 371cardiologists agreed to participate in the survey; 8.1% were current smokers and 32.4% were past smokers. Most classified smoking cessation as the top priority for patients with coronary artery disease (56.5%) and peripheral arterial disease (88.5%). Cardiologists routinely assessed active and passive smoking in 96.2% and 43% of their patients, respectively. Only 29.2% considered themselves well informed about smoking-cessation management. While 39.9% declared they knew about the minimal counselling 7.3% described it correctly. Only 17.5% used the Fagerström questionnaire. Smoking cessation was advised systematically by 85% but only 5.4% of cardiologists followed up their patients specifically on this issue. They referred smokers to either their general practitioner or to smoking-cessation centres and/or quitlines in 16.0% and 67.0% of cases, respectively; 31.8% never referred their patients to a smoking-cessation centre, and 25% declared being unaware of any such centre in their area. Cardiologists who smoked were less likely to ask about patients' smoking status than non-smokers (90% vs 98.2%, p=0.039). Similarly, they were more passive in offering smoking-cessation counselling (23% vs 7%, p=0.011), and referred less frequently their patients to a smoking-cessation centre (37% vs 64%, p=0.028).
French cardiologists are rarely involved in the management of smoking cessation. Their own smoking status influences their attitudes towards the management of smoking cessation.
虽然心脏病专家在心血管疾病预防方面非常积极，但他们对患者吸烟习惯的态度却鲜有研究。
在一项全国性的法国调查中，我们评估了心脏病专家对戒烟的知识水平和管理情况。
我们向1000名心脏病专家的随机样本发放了问卷。
共有371名心脏病专家同意参与调查；8.1%为当前吸烟者，32.4%为既往吸烟者。大多数人将戒烟列为冠心病患者（56.5%）和外周动脉疾病患者（88.5%）的首要任务。心脏病专家分别在96.2%和43%的患者中常规评估主动吸烟和被动吸烟情况。只有29.2%的人认为自己对戒烟管理有充分了解。虽然39.9%宣称他们知道最低限度的咨询，但只有7.3%能正确描述。只有17.5%使用了法格斯特罗姆问卷。85%的人系统地建议戒烟，但只有5.4%的心脏病专家专门就这个问题对患者进行随访。他们分别在16.0%和67.0%的病例中将吸烟者转介给他们的全科医生或戒烟中心和/或戒烟热线；31.8%从未将患者转介到戒烟中心，25%宣称不知道他们所在地区有任何此类中心。吸烟的心脏病专家询问患者吸烟状况的可能性低于不吸烟者（90%对98.2%，p = 0.039）。同样，他们在提供戒烟咨询方面更消极（23%对7%，p = 0.011），并且将患者转介到戒烟中心的频率更低（37%对64%，p = 0.028）。
法国心脏病专家很少参与戒烟管理。他们自己的吸烟状况影响他们对戒烟管理的态度。
