Ockene J K, Quirk M E, Goldberg R J, Kristeller J L, Donnelly G, Kalan K L, Gould B, Greene H L, Harrison-Atlas R, Pease J
Department of Medicine, University of Massachusetts Medical School, Worcester 01655.
Arch Intern Med. 1988 May;148(5):1039-45.
This article describes the results of a three-hour training program that teaches residents a patient-centered counseling approach to smoking cessation, emphasizing questioning and exploring feelings, rather than providing information. Fifty internal medicine and family practice residents affiliated with a university medical center were assessed before and after training using questionnaires and videotape documenting changes in their knowledge about smoking, attitudes concerning intervention, and intervention skills. The residents showed a significant increase in knowledge and perceived themselves as having significantly more influence on their patients who smoke after completion of the training program. Counseling skills improved significantly in the use of questions and exploring feelings as judged by blind evaluation of videotapes. The results of this three-hour training program suggest that physicians in training are responsive to the teaching of specialized skills deemed important for promoting health behavior changes in their patients.
本文描述了一个为期三小时的培训项目的结果，该项目向住院医师传授以患者为中心的戒烟咨询方法，强调提问和探究感受，而非提供信息。对隶属于一所大学医学中心的50名内科和家庭医疗住院医师在培训前后进行了评估，使用问卷调查和录像带记录他们在吸烟知识、干预态度和干预技能方面的变化。住院医师的知识有显著增加，并认为在完成培训项目后，他们对吸烟患者的影响力显著增强。通过对录像带的盲评判断，在提问和探究感受的运用方面，咨询技能有显著提高。这个为期三小时的培训项目结果表明，接受培训的医生对被认为对促进患者健康行为改变很重要的专业技能教学有反应。
