Rumbles A U, Nicholson S C, Court S J
Stop Smoking Services, St John's Hospital, Livingston, UK.
J Obstet Gynaecol. 2012 Feb;32(2):177-9. doi: 10.3109/01443615.2011.634034.
The most common reason for women being referred to colposcopy clinics is an abnormal smear suggesting pre-cancerous change within the cervix. It has been demonstrated that in women with low-grade lesions, smoking cessation led to a reduction in size of the cervical lesion over a 6-month period. Smoking is also recognised as an independent risk factor for treatment failure of cervical intraepithelial neoplasia. As 'stop smoking' services have become an integral part of the colposcopy clinic at St John's Hospital, Livingston, a national survey was undertaken. The aim of the survey was to establish what smoking cessation information, advice and support is available in colposcopy clinics throughout Scotland, and if staff had attended standardised training on raising the issue of smoking. The study demonstrated that 52% of colposcopy clinics in Scotland always establish smoking status but only 37% of clinics discuss the benefits of smoking cessation in relation to abnormal cervical smears. There was inaccurate and inconsistent written and verbal advice given on the benefits of cessation and whether women should cut down or stop smoking completely. The majority of staff had not attended standardised training on how to raise the issue of smoking and very few clinics have established referral pathways for smoking cessation support.
女性被转诊至阴道镜检查诊所的最常见原因是涂片异常，提示宫颈存在癌前病变。研究表明，对于患有低度病变的女性，戒烟可在6个月内使宫颈病变缩小。吸烟也被认为是宫颈上皮内瘤变治疗失败的独立危险因素。由于“戒烟”服务已成为利文斯顿圣约翰医院阴道镜检查诊所不可或缺的一部分，因此开展了一项全国性调查。该调查的目的是确定苏格兰各地的阴道镜检查诊所提供哪些戒烟信息、建议和支持，以及工作人员是否参加过关于提出吸烟问题的标准化培训。研究表明，苏格兰52%的阴道镜检查诊所总是会确定患者的吸烟状况，但只有37%的诊所会讨论戒烟对异常宫颈涂片的益处。在戒烟的益处以及女性应该减少吸烟还是完全戒烟方面，所提供的书面和口头建议存在不准确和不一致的情况。大多数工作人员没有参加过关于如何提出吸烟问题的标准化培训，很少有诊所建立了戒烟支持的转诊途径。
