Heydari Gholamreza, Masjedi Mohammadreza, Ebn Ahmady Arezoo, Leischow Scott J, Lando Harry A, Shadmehr Mohammad B, Fadaizadeh Lida
Tobacco Prevention and Control Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Prev Med. 2015 Aug 10;6:74. doi: 10.4103/2008-7802.162667. eCollection 2015.
One of the core responsibilities of health system is to treat tobacco dependence. This treatment includes different methods such as simple medical consultation, medication, and telephone counseling. To assess physicians' opinions towards quality and result of different quit smoking methods provided in tobacco cessation services centers in Iran.
In this cross-sectional and descriptive study, random sampling of all quit centers at country level was used to obtain a representative sample size of 100 physicians. Physicians completed a self-administered questionnaire which contained 10 questions regarding the quality, cost, effect, side effects, and the results of quitting methods using a 5-point Likert-type scale. Percentages, frequencies, mean, T-test, and variance analyses were computed for all study variables.
Most experts preferred to use combination quit smoking methods and then Nicotine Replacement Therapy (NRT) with 26 and 23, respectively. The least used methods were quit line and some methods without medication with 3 cases. The method which gained the maximum scores were telephone consultation, acupuncture, Willpower, Champix, combined method, and Interactive Voice Response (IVR) with the mean of 23.3, 23, 22.5, 22, 21.7 and 21.3, respectively. The minimum scores were related to e-cigarette, some methods without medication, and non-NRT medication with the mean of 12.3, 15.8 and 16.2, respectively. There were no significant differences in the mean of scores based on different cities (P = 0.256). Analysis of variance in mean scores showed significant differences in the means scores of different methods (P < 0.000).
According to physicians acupuncture, personal methods and Champix are the most effective methods and these methods could be much more feasible and cost effective than other methods.
卫生系统的核心职责之一是治疗烟草依赖。这种治疗包括不同的方法，如简单的医学咨询、药物治疗和电话咨询。旨在评估伊朗戒烟服务中心提供的不同戒烟方法的质量和效果方面医生的意见。
在这项横断面描述性研究中，采用全国所有戒烟中心随机抽样的方法，获得了100名医生的代表性样本量。医生们完成了一份自填式问卷，该问卷包含10个问题，涉及使用5点李克特量表对戒烟方法的质量、成本、效果、副作用和结果进行评价。对所有研究变量计算百分比、频率、均值、t检验和方差分析。
大多数专家分别倾向于使用联合戒烟方法（26人）和尼古丁替代疗法（NRT，23人）。最少使用的方法是戒烟热线和一些非药物方法（各3例）。得分最高的方法是电话咨询、针灸、意志力、畅沛、联合方法和交互式语音应答（IVR），均值分别为23.3、23、22.5、22、21.7和21.3。得分最低的是电子烟、一些非药物方法和非NRT药物，均值分别为12.3、15.8和16.2。不同城市得分均值无显著差异（P = 0.256）。均值得分的方差分析显示不同方法的均值得分有显著差异（P < 0.000）。
根据医生的意见，针灸、个人方法和畅沛是最有效的方法，这些方法可能比其他方法更可行且更具成本效益。
