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牙科学生对管理吸烟患者的认知、准备情况和障碍 - 一项横断面研究。

Dental Students' Awareness, Preparedness and Barriers towards Managing Tobacco-Using Patients-A Cross-Sectional Study.

机构信息

Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.

出版信息

Int J Environ Res Public Health. 2019 May 27;16(10):1862. doi: 10.3390/ijerph16101862.

Abstract

: To evaluate Hong Kong dental students' perceived awareness, preparedness and barriers towards managing tobacco-using patients. : A validated questionnaire was administered to dental students who were in their clinical years (the third, fourth, fifth and sixth year of study) in 2017 at the University of Hong Kong. The questionnaire consisted of three sections: (1) awareness towards practicing tobacco cessation counselling (TCC), (2) preparedness in terms of confidence, knowledge and clinical practices when managing tobacco-using patients, and (3) perceived barriers to counselling. : All 206 invited students had participated this study. Most (93%) agreed that dentists should deliver TCC. However, only around a quarter (26%) of students were well-prepared to help patients in tobacco cessation. While 60% of students agreed nicotine replacement therapy (NRT) was helpful for patients to quit tobacco use, only 28% understood its mechanism of action, and merely 16% were knowledgeable enough to introduce NRT to their patients. Two-thirds (62%) of students felt they did not have sufficient skills at this stage of their training. : Most Hong Kong dental students had good awareness that dental professionals had an important role to promote tobacco cessation in their patient pools. However, not many of them were well-prepared to manage tobacco-using patients. Common barriers were found to be patients' apathy and students' inadequate familiarity with NRT.

摘要

目的

评估香港牙科学员对管理吸烟患者的认知、准备情况和障碍。

方法

于 2017 年在香港大学,对处于临床阶段(第三、四、五和六年学习)的牙科学生,采用经验证的问卷进行调查。问卷包括三个部分:(1)对实施烟草戒断咨询的认知;(2)在管理吸烟患者方面的信心、知识和临床实践准备情况;(3)咨询的感知障碍。

结果

共邀请了 206 名学生参与这项研究。大多数(93%)人认为牙医应该提供 TCC。然而,只有约四分之一(26%)的学生有充分准备帮助患者戒烟。虽然 60%的学生认为尼古丁替代疗法(NRT)有助于患者戒烟,但只有 28%的学生了解其作用机制,仅有 16%的学生有足够的知识向患者介绍 NRT。三分之二(62%)的学生认为在现阶段的培训中,他们的技能还不够。

结论

大多数香港牙科学生清楚地认识到,牙科专业人员在促进其患者群体戒烟方面发挥着重要作用。然而,他们中没有多少人有充分的准备来管理吸烟患者。常见的障碍是患者的冷漠和学生对 NRT 的熟悉程度不足。

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