Mony Prem K, Jayakumar Sylvia
Division of Epidemiology, St. John's Research Institute, Koramangala, Bangalore, India.
Indian J Community Med. 2011 Apr;36(2):104-8. doi: 10.4103/0970-0218.84127.
Tobacco use is a major cause of avoidable mortality. Postgraduate doctors in training are an important group of physicians likely to influence patients' tobacco use/cessation.
To assess preparedness for tobacco control among clinical postgraduate residents of a medical college in southern India.
A cross-sectional study was undertaken among all clinical postgraduate residents enrolled in St. John's Medical College, Bangalore, to assess knowledge, attitude, and practice regarding tobacco cessation in their patients. A self-administered, anonymous questionnaire was used. Simple descriptive analysis was undertaken.
The overall response rate was 66% (76/116). Mean (S.D.) knowledge score on tobacco use prevalence and disease burden was 6.2 (2.0) out of 10. About 25% of them were not aware of nicotine replacement therapy as a treatment option for tobacco cessation. Nearly two thirds of them expected their patients to ask for assistance with quitting and nearly half were sceptical about patients' ability to quit. While 80% of them enquired routinely about tobacco use in their patients, only 50% offered advice on quitting and less than a third assessed readiness to quit or offered assistance with quitting in their patients.
Our study revealed suboptimal levels of knowledge and tobacco cessation practice among postgraduate residents. Attitudes toward tobacco cessation by their patients was however generally positive and there was substantial interest in further training in tobacco control. Reorienting postgraduate medical education to include tobacco control interventions would enable future physicians to be better equipped to deal with nicotine addiction.
烟草使用是可避免死亡的主要原因。接受培训的住院医师是可能影响患者烟草使用/戒烟的重要医师群体。
评估印度南部一所医学院临床住院医师对烟草控制的准备情况。
对班加罗尔圣约翰医学院所有注册的临床住院医师进行横断面研究，以评估他们在患者戒烟方面的知识、态度和实践。使用了一份自我填写的匿名问卷。进行了简单的描述性分析。
总体回复率为66%（76/116）。关于烟草使用流行率和疾病负担的平均（标准差）知识得分在10分制中为6.2（2.0）。约25%的人不知道尼古丁替代疗法是一种戒烟治疗选择。近三分之二的人期望患者寻求戒烟帮助，近一半的人对患者戒烟能力持怀疑态度。虽然80%的人会例行询问患者的烟草使用情况，但只有50%的人提供戒烟建议，不到三分之一的人评估患者的戒烟意愿或提供戒烟帮助。
我们的研究揭示了住院医师在烟草控制知识和戒烟实践方面水平欠佳。然而，他们对患者戒烟的态度总体上是积极的，并且对进一步的烟草控制培训有浓厚兴趣。重新调整住院医师医学教育方向以纳入烟草控制干预措施，将使未来的医生能更好地应对尼古丁成瘾问题。
