Institut national de santé publique du Québec, 190, boul. Crémazie Est, Montréal, Québec, Canada H2E 1P2.
Nicotine Tob Res. 2009 Nov;11(11):1330-8. doi: 10.1093/ntr/ntp142. Epub 2009 Sep 21.
Smoking cessation counseling by health professionals is an effective approach to increase cessation rates among smokers. To guide the development of training and educational interventions, we surveyed six health professional groups including general practitioners (GPs), pharmacists, dentists, dental hygienists, nurses, and respiratory therapists, in order to describe current practices and identify the correlates of smoking cessation counseling.
Self-administered questionnaires were mailed to 500 persons randomly selected from the membership lists of active licensed professionals in each health professional group in Québec.
Response proportions ranged from 52% (nurses) to 70% (dental hygienists). Compared with other groups, GPs and pharmacists undertook more counseling with patients ready to quit. GPs and respiratory therapists undertook more counseling with patients not ready to quit. Three factors emerged consistently across most groups as positively associated with counseling, including the belief that counseling is the role of health professionals, perceived self-efficacy to engage in effective counseling, and knowledge of community cessation resources.
The correlates of cessation counseling are similar across health professional groups. Interventions that address beliefs that cessation counseling is the role of health professionals, self-efficacy to provide effective counseling, and knowledge of community resources may result in improved cessation counseling practices among health professionals.
健康专业人员提供的戒烟咨询是提高吸烟者戒烟率的有效方法。为了指导培训和教育干预措施的制定，我们调查了包括全科医生（GP）、药剂师、牙医、牙科保健师、护士和呼吸治疗师在内的六个健康专业群体，以描述当前的实践情况，并确定与戒烟咨询相关的因素。
我们向每个健康专业群体的执业许可证持有者名单中随机抽取的 500 人邮寄了自填式问卷。
响应比例从 52%（护士）到 70%（牙科保健师）不等。与其他群体相比，全科医生和药剂师与准备戒烟的患者进行了更多的咨询。全科医生和呼吸治疗师与尚未准备戒烟的患者进行了更多的咨询。有三个因素在大多数群体中一致与咨询相关，包括认为咨询是健康专业人员的角色、对进行有效咨询的自我效能的感知，以及对社区戒烟资源的了解。
戒烟咨询的相关因素在不同的健康专业群体中相似。针对认为戒烟咨询是健康专业人员的角色、提供有效咨询的自我效能和了解社区资源的信念的干预措施，可能会改善健康专业人员的戒烟咨询实践。
