Darabseh Mohammad Z, Aburub Aseel, Fayed Eman E
Department of Physiotherapy, Faculty of Allied Medical Sciences, Al-Ahliyya Amman University, Amman 19328, Jordan.
School of Allied Health Professions, Keele University, Keele ST5 5BG, UK.
Healthcare (Basel). 2023 Jan 23;11(3):336. doi: 10.3390/healthcare11030336.
Physiotherapy (PT) is a profession that includes education and close contact for long periods of time with patients for treatment sessions. Globally, smoking is prevalent and is expected to increase in the next decades; thus, smoking cessation (SC) is an important management strategy to mitigate further escalation. Little is known about PT practice in SC, and therefore, this study aimed to systematically review and discuss the published literature about the role of physiotherapists in smoking cessation management, opinions, and prevalence of SC counselling in physiotherapy practice; and to explore barriers towards smoking cessation counselling within physiotherapy practice. A systematic search was conducted through EBSCO, and articles were included if they assessed the role of PTs in SC management. The databases were searched for studies published between 1 January 1970 to 1 April 2022. Articles were excluded if they did not include PTs, if they did not include assessment of SC management/counselling, if they were not cross-sectional studies, if they were not written in the English language, or if they were conference abstracts. Seven studies were included in the review. The search identified no studies that have investigated the role of PTs in vaping cessation. It was found that PTs are not addressing SC counselling and management enough in their practice. In addition, the search revealed that lack of training, time, and knowledge are the most common barriers against including SC counselling in physiotherapy practice and rehabilitation programs. Exploring possibilities of including SC counselling according to the clinical guidelines is encouraged. Additionally, establishing solutions to overcome barriers against SC counselling as part of physiotherapy practice is essential.
物理治疗（PT）是一个需要长时间对患者进行教育并保持密切接触以进行治疗的专业领域。在全球范围内，吸烟现象普遍，预计在未来几十年还会增加；因此，戒烟（SC）是减缓吸烟情况进一步恶化的一项重要管理策略。目前对于物理治疗在戒烟方面的实践了解甚少，因此，本研究旨在系统回顾并讨论已发表的关于物理治疗师在戒烟管理中的作用、物理治疗实践中戒烟咨询的观点及普遍性的文献；并探讨物理治疗实践中戒烟咨询的障碍。通过EBSCO进行了系统检索，如果文章评估了物理治疗师在戒烟管理中的作用，则将其纳入。检索了1970年1月1日至2022年4月1日期间发表的研究。如果文章不包括物理治疗师、不包括对戒烟管理/咨询的评估、不是横断面研究、不是用英语撰写或为会议摘要，则将其排除。本综述纳入了七项研究。检索未发现有研究调查物理治疗师在电子烟戒烟中的作用。研究发现，物理治疗师在其实践中对戒烟咨询和管理的关注不够。此外，检索还显示，缺乏培训、时间和知识是物理治疗实践和康复项目中纳入戒烟咨询的最常见障碍。鼓励根据临床指南探索纳入戒烟咨询的可能性。此外，作为物理治疗实践的一部分，找到克服戒烟咨询障碍的解决方案至关重要。
