Dansou Anne, Pousséo Charlotte, Kaniut Virginie, Leloup Audrey, Aubry Mathilde, Le Louarn Anne
Sante Publique. 2015 Mar-Apr;27(2):167-76.
While smoking continues to kill 73,000 people each year in France, new legislation allows pharmacists to ensure public health actions. How do pharmacists contribute to smoking cessation?
This study described smoking cessation professional practices, the tests used and dispensing of nicotine replacement therapy based on an online questionnaire administered to a random sample of 220 pharmacists, selected from the “Ordre des pharmaciens” website. The questionnaire concerned the type of pharmacy, place of smoking cessation support, knowledge and application of tests, training, referral to the physician and dispensing of nicotine replacement therapy.
Among the 133 respondent pharmacies, minimal intervention and the Fagerström test were two tools most commonly used and 82.7% of pharmacists advised nicotine replacement therapy. Practices complied with guidelines, although certain dispensing difficulties were identified, as well as somewhat approximate or even incorrect knowledge concerning the dispensing of nicotine replacement therapy for certain patients (coronary heart disease, pregnant and breastfeeding women, teenagers).
Certain improvements can be proposed such as the use of a confidential place for private conversations, better patient follow-up, better training and improvement of good practices by young pharmacists.
尽管在法国每年仍有7.3万人死于吸烟，但新立法允许药剂师开展公共卫生行动。药剂师如何为戒烟做出贡献？
本研究基于一份在线问卷，描述了戒烟专业实践、所使用的测试以及尼古丁替代疗法的配发情况。该问卷面向从“药剂师公会”网站随机抽取的220名药剂师发放。问卷涉及药房类型、戒烟支持地点、测试的知识与应用、培训、转诊至医生以及尼古丁替代疗法的配发。
在133家回复的药房中，最小干预法和法格斯特罗姆测试是最常用的两种工具，82.7%的药剂师建议使用尼古丁替代疗法。实践符合指南要求，不过也发现了一些配发方面的困难，以及某些药剂师在为特定患者（冠心病患者、孕妇和哺乳期妇女、青少年）配发尼古丁替代疗法方面的知识存在一定程度的不准确甚至错误。
可以提出一些改进建议，比如使用私密的场所进行私下交谈、更好地跟踪患者、提供更好的培训以及改善年轻药剂师的良好实践。
