全科医生在治疗烟草成瘾中使用简短建议的经验。
The experience of general practitioners with Very Brief Advice in the treatment of tobacco addiction.
机构信息
Department of General Practice CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands.
Zorroo, Zorggroep Regio Oosterhout & Omstreken, Oosterhout, the Netherlands.
出版信息
NPJ Prim Care Respir Med. 2020 Sep 23;30(1):40. doi: 10.1038/s41533-020-00200-0.
Although tobacco smoking is the world's most important preventable cause of many chronic diseases (including COPD and asthma) and premature death, many physicians do not routinely apply smoking cessation in the daily health care of their patients. Two widely felt important concerns of physicians are that smoking cessation as part of a treatment is time-consuming and may jeopardize their relationship with patients. Very Brief Advice (VBA) is a non-confrontational method, which could assist general practitioners (GPs) as a simple, quick first step in getting patients to stop smoking. In this study, we investigated the opinions and experiences of GPs with VBA in their routine care in two rounds of telephone interviews with 19 GPs. The interviews were recorded and transcribed and subsequently analysed with NVivo12. We observed that the GPs had a very positive experience with using VBA. They found the method to be efficient as to the time involved, patient-friendly and easy to implement.
虽然吸烟是世界上许多慢性疾病（包括 COPD 和哮喘）和早逝的最重要的可预防原因，但许多医生并没有在日常的患者医疗保健中常规应用戒烟。医生普遍感到的两个重要顾虑是，戒烟作为治疗的一部分既耗时，又可能危及他们与患者的关系。简短建议（VBA）是一种非对抗性方法，可以帮助全科医生（GP）作为让患者戒烟的简单、快速的第一步。在这项研究中，我们通过两轮电话采访了 19 名全科医生，调查了他们在常规护理中使用 VBA 的意见和经验。采访进行了录音和转录，并随后使用 NVivo12 进行了分析。我们观察到，全科医生对使用 VBA 有非常积极的体验。他们发现该方法在时间投入、患者友好和易于实施方面非常有效。
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