University Malaya Centre of Addiction Sciences (UMCAS), Kuala Lumpur, Malaysia; National Addiction Centre, University of Otago Christchurch, Christchurch, New Zealand.
Int Dent J. 2014 Aug;64(4):206-12. doi: 10.1111/idj.12110. Epub 2014 May 19.
As a signatory to the World Health Organisation 2003 Framework Convention on Tobacco Control, Malaysia has policies in place and funded 300 public Quit clinics. Unfortunately, government dentists are not included to run tobacco dependence treatment. A cross-sectional exploratory survey was carried out to seek Malaysian dentists' opinion on their knowledge, perception and willingness to conduct tobacco dependence treatment. Participation was voluntary from those who attended a specially designed one-day, four-module workshop on tobacco cessation intervention. Data were collected using the Audience-Response-System equipment which tracked immediate responses covering four domains namely: smoking as a public health problem, smoking as an addiction, the role of dentists in the programme and confidence in conducting smoking cessation in the clinic. Sample comprised more female dentists (73.5%), mean age 33.6 (SD 8.99) years and with more than 3 years working experience. Findings indicated that the majority agreed Malaysia has a rising problem in the prevalence of smoking (71.6%) and predicted that it will affect mostly the young (81.9%). Only half of the dentists surveyed (58.9%) routinely recorded their patients' smoking habits. The majority (71.6%) believed that dentists are effective in helping their patient to stop smoking and 76.3% agreed that dentists should discuss the smoking habit with their patients; however, 60% agreed that doing so is too time consuming. In addition, only 24.7% knew of more ways to treat a smoking habit. The majority felt comfortable giving advice to patients about changing their habits (76.5%) or discussing treatment options (60.5%): 75% would opt for a combined programme of counselling and use of medication if they have to do, 15% would choose to go on counselling only, while 8% did not want to treat. In conclusion, the findings suggest that dentists have a strong potential to contribute significantly to providing smoking cessation treatment if adequately trained.
作为世界卫生组织 2003 年《烟草控制框架公约》的签署国，马来西亚制定了相关政策并为 300 家公共戒烟诊所提供资金。遗憾的是，政府牙医并未被纳入提供烟草依赖治疗的范畴。本研究采用横断面探索性调查，旨在了解马来西亚牙医对烟草依赖治疗的知识、看法和意愿。该研究对参加为期一天、四个模块的戒烟干预专门设计的研讨会的牙医进行自愿参与。使用观众响应系统设备收集数据，该设备可即时追踪四个领域的反应，分别为：吸烟作为一个公共卫生问题、吸烟作为一种成瘾、牙医在该项目中的角色以及在诊所进行戒烟的信心。样本由更多的女性牙医（73.5%）组成，平均年龄为 33.6 岁（标准差为 8.99 岁），工作经验超过 3 年。结果表明，大多数牙医认为马来西亚的吸烟流行率呈上升趋势（71.6%），并预测这将主要影响年轻人（81.9%）。只有一半的受调查牙医（58.9%）常规记录患者的吸烟习惯。大多数牙医（71.6%）认为牙医在帮助患者戒烟方面非常有效，76.3%的牙医同意牙医应该与患者讨论吸烟习惯；然而，60%的牙医认为这样做太耗时。此外，只有 24.7%的牙医知道更多治疗吸烟习惯的方法。大多数牙医认为，为患者提供改变习惯的建议（76.5%）或讨论治疗方案（60.5%）非常舒适：如果需要，75%的牙医会选择联合咨询和药物治疗方案，15%的牙医会选择仅咨询，而 8%的牙医不想治疗。总之，如果接受充分培训，牙医在提供戒烟治疗方面具有很大的潜力。
