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将戒烟干预措施纳入牙科环境中的口腔卫生保健的政策建议。

Policy Proposal for Integration of Tobacco Cessation Interventions into Oral Health Care in Dental Settings.

机构信息

Department of Preventive Dentistry, Lagos State University College of Medicine, Lagos State, Nigeria.

Department of Oral and Maxillofacial Surgery, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria.

出版信息

West Afr J Med. 2022 May 27;39(5):486-496.

Abstract

BACKGROUND

Due to the health consequences and economic losses associated with tobacco, the WHO Framework Convention on Tobacco Control, a worldwide effort to control the effects of tobacco smoking on human health enacted a set of policies to curb tobacco use. Smoking cessation services aim to ensure that every patient is screened for tobacco use, their tobacco use status is documented, and patients who use tobacco are advised to quit. Dental health professionals are strategically positioned to reach many tobacco users and this proposal provides a simple framework whereby dentistry could play a major role in smoking cessation efforts.

INTERVENTIONS

Strategies for incorporating Cessation Services into Oral Health Care Delivery include the School Oral Health programs through Public Health Dentistry, updating the Dental School Curriculum through dental education regarding tobacco use prevention and cessation; including Tobacco Treatment Specialists certification in Postgraduate Curriculum for Dental Public Health; Continuing Medical Education (CME) focused on cessation services for dental personnel; Clinical Smoking Cessation Interventions in Dental settings; Compensation of Dental personnel for tobacco use prevention and cessation services; and ongoing research, evaluation and monitoring.

CONCLUSION

Incorporation of these evidence-based treatments into dental practice would result in more individuals achieving long-term abstinence and thus reduce tobacco-related death, disease, and economic loss worldwide.

摘要

背景

由于烟草带来的健康后果和经济损失,世界卫生组织《烟草控制框架公约》作为一项全球性努力,旨在控制吸烟对人类健康的影响,制定了一系列政策来遏制烟草使用。戒烟服务旨在确保对每位患者进行烟草使用筛查,记录其烟草使用状况,并建议使用烟草的患者戒烟。牙科专业人员处于战略性位置,可以接触到许多烟草使用者,本提案提供了一个简单的框架,使牙科能够在戒烟工作中发挥重要作用。

干预措施

将戒烟服务纳入口腔卫生保健服务的策略包括公共卫生牙科的学校口腔健康计划,通过有关烟草使用预防和戒烟的牙科教育更新牙科学校课程;在口腔公共卫生研究生课程中纳入烟草治疗专家认证;针对牙科人员的继续医学教育(CME)侧重于戒烟服务;在牙科环境中进行临床戒烟干预;为烟草使用预防和戒烟服务补偿牙科人员;以及持续的研究、评估和监测。

结论

将这些基于证据的治疗方法纳入牙科实践将导致更多人实现长期戒烟,从而减少全球范围内与烟草相关的死亡、疾病和经济损失。

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