School of Human Kinetics, Trinity Western University, Langley, British Columbia, Canada.
Am J Prev Med. 2012 Jul;43(1):67-71. doi: 10.1016/j.amepre.2012.03.009.
Although engaging or supporting smoking cessation with patients is a health priority for health professionals, the degree to which physical therapists do so is unknown. They have a particular responsibility given their professional commitment to patient education, and typical practice pattern (i.e., long, multiple visits).
This study examined the smoking-cessation practices of Canadian physical therapists, including the frequency of such counseling; use of the established 5A's approach (ask, advise, assist, assess, and arrange follow-up); and smoking-cessation training received.
A cross-sectional postal survey of licensed practicing physical therapists in Canada was conducted. Surveys were mailed between April and June 2009 and data analyzed in November 2009. Descriptive statistics characterized their sociodemographics and counseling practices; chi-square assessed differences between those trained in smoking-cessation counseling trained and those untrained for the 5A's, and regional differences for smoking- cessation counseling frequency and training.
Completed surveys (n=738) yielded a 78.1% response rate. Most physical therapists (54.0%) counsel rarely or not at all. Regional differences for smoking-cessation counseling were observed. In all, 76.3% asked their patients if they smoke, but few (21.6%) reported assisting their patients to quit smoking. Few reported receiving smoking-cessation counseling training; proportionally, those trained in smoking-cessation counseling assisted, assessed, and arranged follow-ups more than those who were untrained.
Few Canadian physical therapists (25.4%) counsel for smoking cessation all or most times, or adhere to the established 5A's approach. Smoking-cessation counseling training including the 5A's needs to be included in physical therapy continuing education and the curricula in entry-level programs, consistent with 21st-century health priorities.
尽管为患者提供戒烟服务是健康专业人员的一项重要任务，但物理治疗师在多大程度上提供戒烟服务尚不清楚。他们有特殊的责任，因为他们致力于患者教育，而且通常的实践模式（即长时间、多次就诊）。
本研究调查了加拿大物理治疗师的戒烟实践，包括这种咨询的频率；使用既定的 5A 方法（询问、建议、协助、评估和安排随访）；以及接受的戒烟培训。
对加拿大持照执业物理治疗师进行了横断面邮寄问卷调查。调查于 2009 年 4 月至 6 月之间寄出，并于 2009 年 11 月进行数据分析。描述性统计方法描述了他们的社会人口统计学和咨询实践；卡方检验评估了接受戒烟咨询培训和未接受培训的治疗师之间以及戒烟咨询频率和培训的区域差异。
完成的调查（n=738）得出了 78.1%的回应率。大多数物理治疗师（54.0%）很少或根本不提供咨询。观察到戒烟咨询的区域差异。总的来说，76.3%的物理治疗师询问他们的患者是否吸烟，但很少有（21.6%）报告协助他们的患者戒烟。很少有人报告接受过戒烟咨询培训；比例上，接受过戒烟咨询培训的治疗师协助、评估和安排随访的比例高于未接受培训的治疗师。
很少有加拿大物理治疗师（25.4%）全部或大部分时间为戒烟提供咨询，或遵循既定的 5A 方法。包括 5A 在内的戒烟咨询培训需要纳入物理治疗继续教育和入门级课程，以符合 21 世纪的健康优先事项。
