中国西南地区重庆临床医学生对戒烟咨询的认知和准备情况:一项横断面研究。

Perceptions and preparedness toward tobacco cessation counseling amongst clinical medical students in Chongqing, Southwest China: A cross-sectional study.

机构信息

The First College of Clinical Medicine, Chongqing Medical University, Chongqing, China.

Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

出版信息

Front Public Health. 2022 Aug 1;10:934782. doi: 10.3389/fpubh.2022.934782. eCollection 2022.

Abstract

BACKGROUND

Medical students play an indispensable role in providing smoking cessation counseling. Despite the rapid increase in tobacco use, there is little data on what Chinese medical students know or are taught about it. This study aims to investigate the relationship between medical students' tobacco education level, clinical experience, and tobacco cessation counseling (TCC) provided by medical students.

METHODS

This cross-sectional study was carried out among clinical medical students of Chongqing medical university. An anonymous, self-administered questionnaire included items on demographic information, perceptions, and perceived preparedness, clinical medical students' self-reported level of education about alternative tobacco products, and traditional cigarettes. We assessed their perspectives toward TCC using a 5-point Likert scale. Descriptive and binary logistic regression analyses were carried out.

RESULTS

A total of 1,263 medical students completed the questionnaire. The majority of students (85%) expressed a willingness to provide TCC to patients in need. However, only half of the students stated unequivocally that they knew some ways and methods of tobacco cessation, while 18% stated that they did not know methods of tobacco cessation. Tobacco education and clinical experience were significantly associated with the ability to provide TCC. Our findings revealed that students with more clinical experience (undergraduates: B = 0.326, < 0.001; postgraduates: B = 0.518, < 0.001) were significantly more likely to have a greater self-reported comprehensive ability to provide TCC.

CONCLUSION

Tobacco education and clinical experience can enhance the ability of medical students to provide smoking cessation counseling. There is a need to focus on alternative tobacco products with changing times, and curriculum planners should collaborate to incorporate comprehensive tobacco prevention and cessation training into the medical school curriculum.

摘要

背景

医学生在提供戒烟咨询方面发挥着不可或缺的作用。尽管烟草使用呈快速增长趋势,但关于中国医学生对烟草的了解或所受教育的相关数据却很少。本研究旨在探讨医学生的烟草教育水平、临床经验与医学生提供的戒烟咨询之间的关系。

方法

这是一项在重庆医科大学临床医学生中进行的横断面研究。采用匿名自填式问卷,内容包括人口统计学信息、观念和自我感知准备情况,临床医学生自我报告的关于替代烟草制品和传统香烟的教育水平。我们使用 5 点 Likert 量表评估他们对戒烟咨询的看法。进行描述性和二项逻辑回归分析。

结果

共有 1263 名医学生完成了问卷。大多数学生(85%)表示愿意为有需要的患者提供戒烟咨询。然而,只有一半的学生明确表示他们知道一些戒烟的方法和途径,而 18%的学生表示他们不知道戒烟的方法。烟草教育和临床经验与提供戒烟咨询的能力显著相关。我们的研究结果表明,具有更多临床经验的学生(本科生:B=0.326,<0.001;研究生:B=0.518,<0.001)更有可能自我报告具有提供戒烟咨询的综合能力。

结论

烟草教育和临床经验可以提高医学生提供戒烟咨询的能力。随着时代的变化,需要关注替代烟草制品,课程规划者应合作将全面的烟草预防和戒烟培训纳入医学院校课程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f738/9376593/62846bdbb4e1/fpubh-10-934782-g0001.jpg

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