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[三年级医学生的吸烟情况与肺量计测定值:横断面研究]

[Smoking and spirometric values in third year medical students: cross-sectional study].

作者信息

Fernández Victor Hugo, Beligoy Mariela Edith, Lima Yessica Vanesa, Barissi Pablo Federico

机构信息

Instituto Universitario de Ciencias de la Salud, Fundación Héctor A. Barceló, Santo Tomé, Corrientes, Argentina. Address: Facultad de Medicina, Sede Santo Tomé, Corrientes, Argentina, Rivadavia y Centeno, C.P. 3340, Argentina. Email:

Instituto Universitario de Ciencias de la Salud, Fundación Héctor A. Barceló, Santo Tomé, Corrientes, Argentina.

出版信息

Medwave. 2015 Apr 17;15(3):e6124. doi: 10.5867/medwave.2015.03.6124.

DOI:10.5867/medwave.2015.03.6124
PMID:25919017
Abstract

OBJECTIVE

The aim of this study is to determine frequency of cigarette smoking and its relationship with indicators of lung function, as well as habits and attitudes towards smoking in third-year medical students of the Health Sciences Institute, Héctor A. Barceló Foundation, Santo Tomé, Corrientes, Argentina.

METHODS

We performed a cross-sectional and analytic study in third-year medical students, during the first two weeks of October 2014. We divided the study group into smokers and non-smokers and we obtained spirometric values with a computerized Flowmax 2 spirometer following the protocols established by the American Thoracic Society. In addition, we applied a questionnaire to the study group with 36 questions including the Fagerström test.

RESULTS

We obtained a mean age of 22.5 ± 3.81 years in 227 students; 52.9% were female and 47.1% male; 26.4% were smokers, predominantly male and with a larger consumption of cigarettes than women; 5% of smokers presented obstructive ventilatory spirometric patterns with a significant association (p = 0.017) with smoking. Twenty-five percent (25%) of male and 8.4% of female showed moderate to high tobacco physical dependence. In the non-smoker group, 18.6% had quit in the previous year or earlier, mostly to improve their health.

CONCLUSION

It is important to encourage medical students to quit smoking, as well as to be aware of the harm that second-hand smoke produces. The future physician should be cognizant of the consequences associated with smoking and the importance of preventing and educating patients acting as a role model very early in their studies.

摘要

目的

本研究旨在确定阿根廷科连特斯省圣多美市赫克托·A·巴塞洛基金会健康科学研究所三年级医学生的吸烟频率及其与肺功能指标的关系,以及吸烟习惯和对吸烟的态度。

方法

2014年10月的前两周,我们对三年级医学生进行了一项横断面分析研究。我们将研究组分为吸烟者和非吸烟者,并按照美国胸科学会制定的方案,使用电脑化的Flowmax 2肺活量计获取肺功能测定值。此外,我们向研究组发放了一份包含36个问题的问卷,其中包括弗格斯特罗姆测试。

结果

我们对227名学生进行了研究,他们的平均年龄为22.5±3.81岁;52.9%为女性,47.1%为男性;26.4%为吸烟者,主要为男性,且吸烟量大于女性;5%的吸烟者呈现阻塞性通气肺功能模式,与吸烟有显著关联(p = 0.017)。25%的男性和8.4%的女性表现出中度至高度的烟草身体依赖。在非吸烟组中,18.6%的人在前一年或更早的时候戒烟,主要是为了改善健康状况。

结论

鼓励医学生戒烟以及认识到二手烟的危害非常重要。未来的医生应该在学习早期就认识到与吸烟相关的后果以及预防和教育患者的重要性,并以身作则。

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