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电子烟与烟草制品戒烟:医疗保健提供者对安全性及建议的观点调查

Electronic Cigarettes and Tobacco Product Cessation: A Survey of Healthcare Providers' Opinions on Safety and Recommendation.

作者信息

Chinwong Surarong, Penthinapong Thitichaya, Tengcharoenphongthorn Phitinan, Pingkaew Siroj, Siriwattana Khanchai, Phrommintikul Arintaya, Chinwong Dujrudee

机构信息

Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand.

Research Center for Innovation in Analytical Science and Technology for Biodiversity-Based Economic and Society (I-ANALY-S-T_B.BES-CMU), Chiang Mai University, Chiang Mai 50200, Thailand.

出版信息

Healthcare (Basel). 2024 Jul 15;12(14):1410. doi: 10.3390/healthcare12141410.

DOI:10.3390/healthcare12141410
PMID:39057553
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11275567/
Abstract

: This study aimed to: (1) assess healthcare providers' opinions on e-cigarette safety and compare them across professions; (2) evaluate providers' recommendations for e-cigarettes as a tobacco product cessation tool and identify any associations with their safety perceptions. : A self-administered questionnaire was completed by 760 healthcare professionals (January-March 2020). The survey included eight opinions on e-cigarette safety with five Likert-scale answers and a question on recommending them for tobacco product cessation. : Among 760 healthcare providers (173 physicians/dentists, 69 pharmacists, and 518 nurses), only 20% reported prior experience with tobacco product cessation counseling. Providers expressed uncertainty regarding e-cigarette safety (mean ± SD: 2.5 ± 0.7 on a 5-point Likert scale), with no significant differences between professions ( = 0.836). Similarly, e-cigarette recommendations for tobacco product cessation remained low across professions (13%, 85/637), with no significant differences found ( = 0.072). The recommendation of e-cigarettes for tobacco cessation is associated with perceived safety, lower respiratory irritation, lower coughing, a lower risk of cancer, and a lower risk for secondhand smokers when compared to traditional cigarettes ( < 0.05). : Most healthcare providers were unsure about the safety of e-cigarettes; about 13% of providers suggested using them for tobacco product cessation, with safety perceptions influencing recommendations.

摘要

本研究旨在

(1)评估医疗服务提供者对电子烟安全性的看法,并比较不同专业之间的差异;(2)评估医疗服务提供者将电子烟作为烟草制品戒烟工具的建议,并确定其与安全认知之间的关联。:760名医疗专业人员完成了一份自填式问卷(2020年1月至3月)。该调查包括关于电子烟安全性的八种看法,有五个李克特量表答案,以及一个关于是否推荐将其用于烟草制品戒烟的问题。:在760名医疗服务提供者中(173名医生/牙医、69名药剂师和518名护士),只有20%的人报告有过烟草制品戒烟咨询的经验。医疗服务提供者对电子烟的安全性表示不确定(5点李克特量表上的均值±标准差:2.5±0.7),不同专业之间没有显著差异(P = 0.836)。同样,不同专业将电子烟用于烟草制品戒烟的建议率仍然较低(13%,85/637),未发现显著差异(P = 0.072)。与传统香烟相比,推荐使用电子烟戒烟与感知到的安全性、较低的呼吸道刺激、较少的咳嗽、较低的癌症风险以及较低的二手烟风险相关(P < 0.05)。:大多数医疗服务提供者不确定电子烟的安全性;约13%的医疗服务提供者建议将其用于烟草制品戒烟,安全认知影响建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb31/11275567/eff94e7cba54/healthcare-12-01410-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb31/11275567/49fca34e111d/healthcare-12-01410-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb31/11275567/eff94e7cba54/healthcare-12-01410-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb31/11275567/49fca34e111d/healthcare-12-01410-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb31/11275567/eff94e7cba54/healthcare-12-01410-g002.jpg

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BMJ Open. 2024 Mar 4;14(3):e078677. doi: 10.1136/bmjopen-2023-078677.
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E-cigarette use and respiratory symptoms in adults: A systematic review and meta-analysis.
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Adv Respir Med. 2023 Nov 14;91(6):516-531. doi: 10.3390/arm91060038.
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Cardiopulmonary Impact of Electronic Cigarettes and Vaping Products: A Scientific Statement From the American Heart Association.电子烟和蒸气产品对心肺的影响:美国心脏协会的科学声明。
Circulation. 2023 Aug 22;148(8):703-728. doi: 10.1161/CIR.0000000000001160. Epub 2023 Jul 17.
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