Brûlé Julie, Abboud Carole, Deschambault Émilie
École d'optométrie, Université de Montréal, Montréal, Québec, Canada.
Clin Exp Optom. 2012 Nov;95(6):599-605. doi: 10.1111/j.1444-0938.2012.00748.x. Epub 2012 Jun 19.
Despite the fact that cigarette smoking is a well known risk factor for many ocular diseases, very little data exist regarding optometrists' interventions in smoking cessation counselling with their patients. The aim of this study was to evaluate the practices, perceptions and educational needs of Québec optometrists regarding smoking cessation counselling.
A self-administered questionnaire pertaining to smoking cessation counselling practices was mailed to 600 optometrists licensed in Québec.
The response rate was 51 per cent. The majority (90 per cent) of respondents (n = 288) reported having the required knowledge of ocular diseases related to smoking. Most respondents recognised that optometrists should ask their patients if they smoke (73 per cent), should advise their smoking patients to stop smoking (65 per cent) and should be cognisant of the resources available that can support patients in their efforts to quit smoking (65 per cent). Few responders asked their patients on a regular basis if they indeed smoked (16 per cent) or advised them to stop, if such was the case (29 per cent). Moreover, only eight per cent of respondents knew the resources toward which they should direct their patients who wish to stop smoking. Only eight per cent of respondents perceived themselves as being competent to offer counselling. For 72 per cent of the respondents, the main obstacle to smoking cessation counselling was the lack of knowledge about counselling. Approximately half (48 per cent) of respondents are interested in acquiring competencies in smoking cessation counselling.
Based on the results of the present study, optometrists in Québec are well aware of the effects of smoking on ocular health and the importance of educating their patients; however, they might not possess the required skills to assist their patients in quitting smoking. Because they have not received sufficient training, optometrists in Québec remain an untapped resource in tobacco cessation counselling.
尽管吸烟是许多眼部疾病广为人知的风险因素，但关于验光师对患者进行戒烟咨询干预的数据却非常少。本研究的目的是评估魁北克验光师在戒烟咨询方面的实践、认知和教育需求。
向600名在魁北克获得执照的验光师邮寄了一份关于戒烟咨询实践的自填式问卷。
回复率为51%。大多数（90%）的受访者（n = 288）报告称拥有与吸烟相关眼部疾病的必要知识。大多数受访者认为验光师应该询问患者是否吸烟（73%），应该建议吸烟患者戒烟（65%），并且应该了解可支持患者戒烟努力的可用资源（65%）。很少有受访者定期询问患者是否真的吸烟（16%），或者在这种情况下建议他们戒烟（29%）。此外，只有8%的受访者知道应该将希望戒烟的患者引向哪些资源。只有8%的受访者认为自己有能力提供咨询。对于72%的受访者来说，戒烟咨询的主要障碍是缺乏咨询知识。大约一半（48%）的受访者有兴趣获得戒烟咨询方面的能力。
基于本研究的结果，魁北克的验光师充分意识到吸烟对眼部健康的影响以及教育患者的重要性；然而，他们可能不具备帮助患者戒烟所需的技能。由于没有接受足够的培训，魁北克的验光师在戒烟咨询方面仍是未被开发的资源。
