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在学术临床环境中追踪牙科患者的烟草使用情况和干预措施。

Tracking dental patient tobacco use and intervention in the academic clinical setting.

机构信息

Department of Periodontics, School of Dentistry, West Virginia University, P.O. Box 9400, Morgantown, WV 26506, USA.

出版信息

J Dent Educ. 2012 Nov;76(11):1448-56.

Abstract

The purpose of this study was to illustrate one method of tracking patients' tobacco use and monitoring cessation interventions with electronic dental records in an academic dental setting. Records from 465 tobacco users were analyzed to assess patients' tobacco use and providers' intervention techniques. The results indicate that 75 percent of the patients whose records were analyzed had used tobacco for more than ten years and the cold turkey approach was the most common cessation method. Ninety-seven percent of the patients whose records were analyzed used cigarettes. The most common pharmacotherapy recommended in combination with counseling for smoking cessation was the nicotine patch, followed by nicotine gum, varenicline (Chantix), the nicotine lozenge, bupropion SR (Zyban), and the nicotine oral inhaler. Incorporating tobacco use questions into the electronic dental record can ensure that tobacco use and intervention techniques are addressed and documented in dental records. Electronic dental records provide an opportunity to collect data related to tobacco use and intervention techniques for purposes of further evaluation and research.

摘要

本研究的目的是展示一种在学术牙科环境中利用电子牙科记录来追踪患者的烟草使用情况和监测戒烟干预的方法。分析了 465 名烟草使用者的记录,以评估患者的烟草使用情况和提供者的干预技术。结果表明,在分析记录的患者中,有 75%的患者使用烟草超过十年,而突然完全戒断是最常见的戒烟方法。在分析记录的患者中,有 97%的患者使用香烟。在与咨询相结合推荐用于戒烟的最常见药物治疗是尼古丁贴片,其次是尼古丁口香糖、伐伦克林(畅沛)、尼古丁锭剂、安非他酮缓释片(畅沛)和尼古丁吸入器。在电子牙科记录中纳入烟草使用问题可以确保在牙科记录中解决和记录烟草使用和干预技术。电子牙科记录为收集与烟草使用和干预技术相关的数据提供了机会,以便进一步评估和研究。

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