在医学生中开展电子学习课程后，他们在临床实践中对尼古丁依赖及治疗的了解有所提高。

Knowledge of nicotine dependence and treatment in clinical practice improved after an e-learning course among medical students.

作者信息

Grassi M C, Sansone A, Basili S, Ferketich A K

机构信息

Department of Physiology and Pharmacology "V. Erspamer", "Sapienza" University of Rome, Rome.

Department of Experimental Medicine, Section of Medical Pathophysiology, Food Science and Endocrinology, "Sapienza" University of Rome, Rome.

出版信息

Clin Ter. 2019 Jul-Aug;170(4):e252-e257. doi: 10.7417/CT.2019.2142.

DOI:10.7417/CT.2019.2142

PMID:31304511

Abstract

OBJECTIVE

Tobacco smoking is the leading cause of preventable death in developed countries and smokers should be encouraged to quit. Physicians are instrumental in this, but recent reports suggest inadequate training in medical school. We aimed to assess the knowledge of nicotine dependence and its treatment among Italian medical students.

STUDY DESIGN

Prospective observational study.

METHODS

We developed an online course consisting of 11 Didactic Modules (6 for Tobacco Dependence I, TDI, and 5 for TDII) on nicotine dependence and treatment. The course was administered to 4th and 5th year medical students in Italy in Academic Years 2016-17 (Course A) and 2017-18 (Course B). A validated questionnaire was used before and after each part in order to measure knowledge of smoking epidemiology, health effects and benefits of giving up smoking ("Score 1", TDI), and effectiveness of cessation treatments ("Score 2", TDII).

RESULTS

324 students took both TDI and TDII and completed all questionnaires (Course A, n = 245; Course B, n = 79). 55 students were current smokers (17%). A significant increase in score 1 and 2 was observed at the end of both TDI (pre-course 47.2±13.1, post-course 66.0±12.3, p <0.0001) and TDII (pre-course 55.6±11.5, post-course 68.1±10.9, p <0.0001). The prevalence of students wishing for a smoke-free medical school significantly increased between the beginning of TDI (74.4%, 241/324) and the end of TDII (88%, 285/324; p <0.0001).

CONCLUSIONS

This e-learning course has proven to be an effective tool in teaching students on nicotine dependence and treatment.

摘要

目的

吸烟是发达国家可预防死亡的首要原因，应鼓励吸烟者戒烟。医生在这方面起着重要作用，但最近的报告表明医学院校的相关培训不足。我们旨在评估意大利医学生对尼古丁依赖及其治疗的知识水平。

研究设计

前瞻性观察性研究。

方法

我们开发了一门在线课程，该课程由11个教学模块组成（6个关于烟草依赖I，TDI，5个关于TDII），内容涉及尼古丁依赖及其治疗。该课程于2016 - 17学年（课程A）和2017 - 18学年（课程B）面向意大利的四年级和五年级医学生授课。在每个部分前后使用经过验证的问卷，以测量吸烟流行病学知识、戒烟的健康影响和益处（“分数1”，TDI）以及戒烟治疗的有效性（“分数2”，TDII）。

结果

324名学生参加了TDI和TDII并完成了所有问卷（课程A，n = 245；课程B，n = 79）。55名学生为当前吸烟者（17%）。在TDI结束时（课程前47.2±13.1，课程后66.0±12.3，p <0.0001）和TDII结束时（课程前55.6±11.5，课程后68.1±10.9，p <0.0001），分数1和分数2均显著提高。希望医学院校无烟的学生比例在TDI开始时（74.4%，241/324）和TDII结束时（88%，285/324；p <0.0001）显著增加。