Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Indian J Cancer. 2020 Oct-Dec;57(4):443-450. doi: 10.4103/ijc.IJC_696_18.
Tobacco use can lead to tobacco/nicotine dependence and serious health problems. Quitting smoking significantly reduces the risk of developing smoking-related diseases. In a low resource setting like India, the role of primary healthcare providers in tobacco cessation is immense. The current study was conducted with the objective of evaluating the preparedness, knowledge and attitude of the primary healthcare providers in tobacco cessation.
A cross-sectional study involving 289 trainees taking part in a non-communicable disease training in the calendar year 2015, held at All India Institute of Medical Sciences, Bhopal were interviewed with a close-ended questionnaire on the demographic profile of participants, their preparedness, and current knowledge and attitude related with tobacco cessation activities.
Among the 289 trainees, majority of the study participants were staff nurses (54.7%) and medical officers (41.2%) with a mean (± Standard Deviation, range) age of 35 (±10, 22-63) years predominantly from district and sub-district hospitals (52.9%). In total, 86.9% counsel their patients regarding tobacco cessation and 13.1% use nicotine replacement therapy in aiding tobacco cessation. 174 (60.2%) participants received on-job training of various duration on tobacco control, and 96 (33.2%) did not receive any training. Preparedness toward tobacco cessation was present in 15.01% (41) of the study participants.
The study reveals that the majority of the healthcare providers were not prepared, and only half of the participants had favorable attitudes and practices of delivering tobacco cessation activities.
吸烟会导致烟草/尼古丁依赖和严重的健康问题。戒烟可显著降低罹患与吸烟相关疾病的风险。在印度这样的资源匮乏环境中，基层医疗服务提供者在戒烟方面发挥着巨大作用。本研究旨在评估基层医疗服务提供者在戒烟方面的准备情况、知识和态度。
本横断面研究纳入了 2015 年在印度巴普那的全印医学科学院参加非传染性疾病培训的 289 名学员，通过封闭式调查问卷对参与者的人口统计学特征、准备情况以及当前与戒烟活动相关的知识和态度进行了访谈。
在 289 名学员中，大多数研究参与者是护士（54.7%）和医生（41.2%），平均（±标准差，范围）年龄为 35（±10，22-63）岁，主要来自区和次区医院（52.9%）。总的来说，86.9%的学员会对其患者进行戒烟咨询，13.1%的学员会使用尼古丁替代疗法来辅助戒烟。174 名（60.2%）参与者接受了不同时长的与烟草控制相关的在职培训，而 96 名（33.2%）参与者未接受任何培训。15.01%（41 名）的研究参与者有戒烟准备。
本研究表明，大多数医疗服务提供者尚未做好准备，只有一半的参与者对提供戒烟活动持积极的态度和做法。
