Bostan Pinar, Salepci Banu, Uysal Mehmet A
Faculty of Health Sciences, Istanbul Bilgi University, Istanbul, Turkey.
Department of Chest Diseases, Yeditepe University Kozyatagi Hospital, Istanbul, Turkey.
Tob Induc Dis. 2023 Mar 8;21:35. doi: 10.18332/tid/159795. eCollection 2023.
Many studies have shown that training in smoking cessation care (SCC) is important for increasing the number and quality of delivered interventions by health professionals, and various training methods are available. The study aimed to identify the relationship between receiving training on SCC and the frequency of providing outpatient-based SCC among pulmonologists who were members of the Turkish Thoracic Society (TTS).
For this cross-sectional study, a self-administered online questionnaire-based survey was conducted on a group of active pulmonologists who were members of the TTS, between April and October 2019. The survey included questions about demographics, smoking status, participation in SCC training, and providing outpatient-based SCC.
A total of 199 (53%) pulmonologists were actively taking part in outpatient-based SCC. Compared to those that were not providing outpatient-based SCC, median age, median time since graduation, and the number of non-academics, non-current smokers and recipients of smoking cessation care training were significantly higher in the group providing outpatient-based SCC (p<0.001, p<0.001, p=0.002, p=0.001, respectively). It was observed that having SCC training increased more than 6-fold the likelihood of providing outpatient-based SCC (AOR=6.45; 95% CI: 3.96-10.49; p<0.001).
The most crucial obstacle in providing smoking cessation is healthcare workers not providing smoking cessation to smokers. It is worthwhile to devote more tasks and resources to training physicians on smoking cessation care since this may increase their effective involvement in tobacco cessation.
许多研究表明,戒烟护理培训对于增加卫生专业人员提供干预措施的数量和质量很重要,并且有多种培训方法可供使用。该研究旨在确定接受戒烟护理培训与土耳其胸科协会(TTS)成员肺科医生提供门诊戒烟护理频率之间的关系。
对于这项横断面研究,于2019年4月至10月对一组TTS的在职肺科医生进行了基于在线问卷的自我管理调查。该调查包括有关人口统计学、吸烟状况、参与戒烟护理培训以及提供门诊戒烟护理的问题。
共有199名(53%)肺科医生积极参与门诊戒烟护理。与未提供门诊戒烟护理的医生相比,提供门诊戒烟护理的医生组的年龄中位数、毕业时间中位数、非学术人员数量、非现吸烟者数量以及接受戒烟护理培训的人员数量显著更高(分别为p<0.001、p<0.001、p=0.002、p=0.001)。观察到接受戒烟护理培训使提供门诊戒烟护理的可能性增加了6倍多(调整后比值比=6.45;95%置信区间:3.96-10.49;p<0.001)。
提供戒烟服务最关键的障碍是医护人员不向吸烟者提供戒烟服务。值得投入更多任务和资源对医生进行戒烟护理培训,因为这可能会增加他们对戒烟的有效参与。