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评价一家教学牙科医院的戒烟诊所提供的戒烟服务。

Evaluation of cessation services provided at a tobacco cessation clinic in a teaching dental hospital.

机构信息

Department of Public Health Dentistry, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India.

Association for Indian Coalition for Control of Iodine Deficiency Disorders (ICCIDD), New Delhi, India.

出版信息

Indian J Dent Res. 2020 Nov-Dec;31(6):852-856. doi: 10.4103/ijdr.IJDR_541_19.

DOI:10.4103/ijdr.IJDR_541_19
PMID:33753653
Abstract

BACKGROUND

Tobacco cessation interventions provided in a dental office or hospital settings are beneficial in helping patients to quit tobacco. Regular monitoring of these interventions is required to assess their success rate and factors hindering its improvement. This study evaluated cessation services provided through a Tobacco Cessation Clinic (TCC) established in a government teaching dental hospital in Delhi, India.

. MATERIALS AND METHODS: Patients visiting the TCC from April 2016 to March 2018 were contacted to participate in this study. All the willing participants were administered a structured questionnaire telephonically or in person. The questionnaire focused on gathering information on patients' current tobacco use status, feedback on intervention provided at TCC and reasons for missing TCC appointments. Bivariate and multivariate analysis was performed to assess the effect of socio-demographic factors, nicotine dependence and interventions at TCC on current tobacco use status of participants.

RESULTS

Of the 309 participants, 60 (19.4%) reported complete tobacco abstinence and 78 (22.3%) reduced consumption by more than half from their first visit to TCC. Most of the participants (81.5%) were satisfied with the tobacco cessation interventions provided at the TCC. Multivariate analysis shows that odds of quitting were higher in participants with low tobacco dependence (OR 3.03, CI 0.98,9.35) and those who were satisfied with counselling method at TCC (OR 8.8, CI 2.05, 38.35).

CONCLUSION

Interventions provided at our TCC were found beneficial by the study participants to reduce tobacco consumption or achieve total tobacco abstinence. A timely reminder can be provided to increase patients' compliance.

摘要

背景

在牙科诊所或医院环境中提供的戒烟干预措施有助于帮助患者戒烟。需要定期监测这些干预措施,以评估其成功率和阻碍其改善的因素。本研究评估了在印度德里一家政府教学牙科医院设立的戒烟诊所(TCC)提供的戒烟服务。

材料和方法

联系了 2016 年 4 月至 2018 年 3 月期间访问 TCC 的患者参加这项研究。所有愿意的参与者都通过电话或亲自接受了结构化问卷。该问卷侧重于收集有关患者当前吸烟状况的信息、对 TCC 提供的干预措施的反馈以及错过 TCC 预约的原因。进行了单变量和多变量分析,以评估社会人口统计学因素、尼古丁依赖和 TCC 干预对参与者当前吸烟状况的影响。

结果

在 309 名参与者中,有 60 名(19.4%)报告完全戒烟,78 名(22.3%)从首次就诊 TCC 开始减少吸烟量超过一半。大多数参与者(81.5%)对 TCC 提供的戒烟干预措施感到满意。多变量分析显示,低尼古丁依赖(OR 3.03,CI 0.98,9.35)和对 TCC 咨询方法满意的参与者(OR 8.8,CI 2.05,38.35)戒烟的可能性更高。

结论

研究参与者认为 TCC 提供的干预措施有助于减少吸烟量或实现完全戒烟。可以及时提醒以提高患者的依从性。

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