针对健康专业学生的戒烟知识与行为培训课程的效果：SISMA项目
Effectiveness of a training course on smoking cessation knowledge and behaviour for health profession students: the SISMA project.
作者信息
LA Torre G, D'Egidio V, Patrissi R, Chiarini M, DE Vivo G, Mannocci A, Grassi M C
机构信息
Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.
Department of Physiology and Pharmacology "V. Erspamer", Sapienza University of Rome, Italy.
出版信息
J Prev Med Hyg. 2019 Jun 28;60(2):E119-E123. doi: 10.15167/2421-4248/jpmh2019.60.2.1178. eCollection 2019 Jun.
INTRODUCTION
University students are at risk of starting smoking or continuing and increasing the consumption of tobacco products. The aim of the study was to assess the impact of the training course, Sisma Project, about smoking in healthcare degree courses, in terms of knowledge, behaviour and to evaluate the course.
METHODS
SISMA project was a pre- post study about an intervention delivered to healthcare profession students about smoking and smoking cessation. It had a before-after design and was an online optional course available on the eLearning platform Moodle 2. The course was structured in four lessons of sixty minutes, a debate among experts and a final test of evaluation. The McNemar test was used to measure the effectiveness of Sisma on smoking behaviour of students after the intervention. Students rated the course assigning a score from one to ten, and expressed free comments about point of strength and weakness of Sisma project.
RESULTS
The participants were 365 students, 28.5% males and 71.5% females, most were nursing 194 (53.2%) and dental hygienists students 105 (28.8%). Current smokers were 161 (44.1%) before and 142 (38.9%) after the course, there was statistical significant difference in smoking status after attending the course (p < 0.001). Students evaluated the course giving a high score with a mean of 8.13 (SD: 1.1); the main points of strength were the content (33.2%), the structure (15.6%) and knowledge given by the course (12.6%). The main point of weakness were the online structure 62 (37%), problem related to length and time 17 (10%) and the final test 15 (9%).
DISCUSSION
Given the central role health professionals play in patient care, students need to be aware and trained in tobacco cessation techniques. Our results indicate that smoking behaviour significantly changed after attending a university course for smoking cessation and students appreciated its contents and structure.
引言
大学生有开始吸烟或继续吸烟并增加烟草制品消费量的风险。本研究的目的是评估“西斯马项目”（Sisma Project）这一关于医疗保健学位课程中吸烟问题的培训课程在知识、行为方面的影响，并对该课程进行评估。
方法
“西斯马项目”是一项针对医疗保健专业学生开展的关于吸烟与戒烟干预措施的前后对照研究。它采用前后设计，是一个在电子学习平台Moodle 2上提供的在线选修课程。该课程由四节时长为60分钟的课程、一场专家辩论和一次期末评估测试组成。采用麦克尼马尔检验来衡量干预后“西斯马项目”对学生吸烟行为的有效性。学生对该课程进行评分，分数从1到10分，并就“西斯马项目”的优点和缺点发表自由评论。
结果
参与者为365名学生，其中男性占28.5%，女性占71.5%，大多数是护理专业学生194名（53.2%）和口腔卫生专业学生105名（28.8%）。课程开始前吸烟者有161名（44.1%），课程结束后为142名（38.9%），参加课程后吸烟状况有统计学显著差异（p < 0.001）。学生对该课程评价较高，平均分为8.13（标准差：1.1）；主要优点在于内容（33.2%）、结构（15.6%）以及课程传授的知识（12.6%）。主要缺点在于在线结构62条（37%）、与时长和时间相关的问题17条（10%）以及期末测试15条（9%）。
讨论
鉴于卫生专业人员在患者护理中所起的核心作用，学生需要了解并接受戒烟技巧方面的培训。我们的结果表明，参加大学戒烟课程后，吸烟行为发生了显著变化，并且学生对其内容和结构表示赞赏。
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