Oztürk O, Yılmazer I, Akkaya A
Department of Chest Diseases, Faculty of Medicine, University of Süleyman Demirel, Isparta, Turkey.
Hippokratia. 2012 Apr;16(2):124-9.
The purpose of this study was to evaluate the attitudes and behavior of surgeons regarding preoperative smoking cessation.
A total of 109 anonymous questionnaires were distributed to non-vascular surgeons in our hospital, inquiring about their smoking attitudes, their smoking cessation advice practices, whether they appreciated the benefits of preoperative smoking cessation, and their knowledge of smoking cessation methods.
Eighty questionnaires (from 51 resident doctors and 29 academic staff) were returned (response rate: 73.40%). Of the surgeons, 17.50% were current smokers. Although 40% of the surgeons surveyed believed that preoperative smoking cessation reduces postoperative complications, 31.2% of the surgeons (25/63) had given smoking cessation advice at least to 1 patient in the last month. Most of the resident doctors (39.2%) advised smoking cessation within a month; prior to surgery however, the academic staff (27.6%) advised cessation immediately before the operation (p=0.038). There was a significant difference between academic sfaff and resident doctors concerning the method to increase a patient's chance of quitting (p=0.045), even among current smokers (p=0.049).
The surgeons who participated in the questionnaire were aware that smoking cessation improves outcome, but most of them did not appreciate that providing brief advice, referring to cessation services, or prescribing nicotine replacement therapy (NRT) may be of benefit in helping patients to quit. It is necessary to educate surgeons about the scale of the benefit and the efficacy of smoking cessation interventions or to set up systematic frameworks to offer smoking cessation advice to preoperative patients who smoke.
本研究旨在评估外科医生对术前戒烟的态度和行为。
共向我院非血管外科医生发放109份匿名问卷，询问他们的吸烟态度、戒烟建议做法、是否认识到术前戒烟的益处以及他们对戒烟方法的了解。
共回收80份问卷（来自51名住院医生和29名学术人员），回复率为73.40%。在外科医生中，17.50%为当前吸烟者。尽管40%的接受调查的外科医生认为术前戒烟可减少术后并发症，但在过去一个月中，31.2%的外科医生（25/63）至少向1名患者提供了戒烟建议。大多数住院医生（39.2%）建议在一个月内戒烟；然而，学术人员（27.6%）建议在手术前立即戒烟（p=0.038）。在增加患者戒烟几率的方法方面，学术人员和住院医生之间存在显著差异（p=0.045），即使在当前吸烟者中也是如此（p=0.049）。
参与问卷调查的外科医生意识到戒烟可改善手术结果，但他们中的大多数人没有认识到提供简短建议、推荐戒烟服务或开具尼古丁替代疗法（NRT）可能有助于患者戒烟。有必要对外科医生进行关于戒烟益处规模和戒烟干预效果的教育，或者建立系统框架，为术前吸烟的患者提供戒烟建议。
