Department of Psychology, Macquarie University, Sydney 2109, Australia.
Australian Institute of Health Innovation, Macquarie University, Sydney 2109, Australia.
Int J Environ Res Public Health. 2018 Nov 7;15(11):2481. doi: 10.3390/ijerph15112481.
For patients who smoke, electronic cigarettes may offer a pathway to achieve tobacco abstinence and reduce the risk of postoperative complications. Clinicians have a pivotal role in supporting smoking cessation by patients with lung cancer and coronary artery disease throughout the perioperative period of cardiothoracic surgery. However, the views of Australian cardiothoracic clinicians on electronic cigarettes and smoking cessation are unknown. Semi-structured interviews were conducted with 52 cardiothoracic surgeons, anaesthetists, nurses and physiotherapists in six hospitals in Sydney and thematically analysed. Clinicians' knowledge about electronic cigarettes and the regulatory environment surrounding them was limited. Clinicians believed that: electronic cigarettes, though unlikely to be safe, were safer than tobacco cigarettes; electronic cigarettes may have a harm reduction role in public health; and electronic cigarettes were a potential smoking cessation tool for the extraordinary circumstances of surgery. The professional role of a clinician and their views about electronic cigarettes as a perioperative smoking cessation aid had an influence on future clinician-patient interactions. Electronic cigarette use is increasing in Australia and clinicians are likely to receive more frequent questions about electronic cigarettes as a cessation aid. Stronger guidance for clinicians is needed on the topic of electronic cigarettes and cardiothoracic surgery.
对于吸烟的患者来说，电子烟可能是实现戒烟并降低术后并发症风险的途径。在心胸外科手术的围手术期，临床医生在支持肺癌和冠心病患者戒烟方面发挥着关键作用。然而，澳大利亚心胸科临床医生对电子烟和戒烟的看法尚不清楚。在悉尼的六家医院对 52 名心胸外科医生、麻醉师、护士和物理治疗师进行了半结构化访谈，并进行了主题分析。临床医生对电子烟及其监管环境的了解有限。临床医生认为：电子烟虽然不太可能安全，但比烟草香烟更安全；电子烟可能在公共卫生方面具有减少危害的作用；电子烟是手术特殊情况下戒烟的潜在工具。临床医生的专业角色及其对电子烟作为围手术期戒烟辅助工具的看法会对未来的医患互动产生影响。电子烟在澳大利亚的使用正在增加，临床医生可能会更频繁地收到关于电子烟作为戒烟辅助工具的问题。需要为临床医生提供关于电子烟和心胸外科手术的更有力的指导。
