Araya A M Virginia, Leal S Francisco, Huerta G Patricio, Fernández A Nora, Fernández O Gonzalo, Millones E Juan P
Departamento de Prevención, Sociedad Chilena de Cardiología, Santiago, Chile.
Rev Med Chil. 2012 Mar;140(3):347-52. doi: 10.4067/S0034-98872012000300010.
Structured medical advice on smoking is the prevention strategy with better cost-effectiveness ratio.
To evaluate smoking among health care providers affect the application of this preventive strategy.
We surveyed 235 physicians working in public and private hospitals in different cities over the country, about their smoking habits, their views on smoking as cardiovascular risk factor and the implementation of three key points of the structured medical advice about smoking.
Physicians aged less than 44 years had the lower frequency of smoking and the higher frequency of ex-smokers concentrated among those aged 60 years or more. All surveyed physicians agreed that smoking is a cardiovascular risk factor. However, 21% considered that this risk appears only among those that smoke more than three cigarettes per day. Independent of their smoking habits, 18% of physicians not always ask their patients about smoking, 25% do not warn about the risk of smoking and 22% not always give advice about quitting. This last action is carried out with a significantly lower frequency by smoking physicians.
To improve physician's compliance with their preventive role in clinical practice, it is essential to consider their own smoking habits, and the information and attitudes that they have towards smoking as a cardiovascular risk factor.
关于吸烟的结构化医学建议是成本效益比更佳的预防策略。
评估医护人员的吸烟情况对这一预防策略应用的影响。
我们调查了全国不同城市公立和私立医院的235名医生，了解他们的吸烟习惯、对吸烟作为心血管危险因素的看法以及关于吸烟的结构化医学建议三个关键点的实施情况。
年龄小于44岁的医生吸烟频率较低，戒烟者频率较高，且集中在60岁及以上人群中。所有接受调查的医生都认为吸烟是心血管危险因素。然而，21%的医生认为这种风险仅出现在每天吸烟超过三支的人群中。无论吸烟习惯如何，18%的医生并非总是询问患者的吸烟情况，25%的医生不警告吸烟风险，22%的医生并非总是提供戒烟建议。吸烟的医生实施最后一项行为的频率明显更低。
为提高医生在临床实践中履行预防职责的依从性，必须考虑他们自身的吸烟习惯，以及他们对吸烟作为心血管危险因素的认知和态度。
