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医生对高血压和吸烟的态度及做法:斯坦福五城市项目

Attitudes and practices of physicians regarding hypertension and smoking: The Stanford Five City Project.

作者信息

Fortmann S P, Sallis J F, Magnus P M, Farquhar J W

出版信息

Prev Med. 1985 Jan;14(1):70-80. doi: 10.1016/0091-7435(85)90022-2.

DOI:10.1016/0091-7435(85)90022-2
PMID:4034516
Abstract

A survey was sent to 318 physicians in Monterey County, California, to assess their attitudes and practices regarding hypertension and cigarette smoking. After three mailings, 62% returned completed questionnaires. Eight percent of the respondents were smokers, 5% were women, and 34% were in primary care specialties. Older physicians and primary care specialists were less aggressive in their treatment of high blood pressure, but none of the assessed attitudes was significantly associated with treatment practice. Only half of the sample advised all patients to quit smoking. Physicians who doubted the effectiveness of their anti-smoking advice or who did not know what to say to smoking patients were less likely to provide advice. Most physicians felt that their smoking patients lacked sufficient motivation to quit. Programs to encourage physicians to increase smoking cessation activities should address these attitudes.

摘要

一项调查被发送给加利福尼亚州蒙特雷县的318名医生,以评估他们对高血压和吸烟的态度及做法。经过三次邮寄,62%的医生返回了填写完整的问卷。8%的受访者是吸烟者,5%是女性,34%从事初级保健专业。年长的医生和初级保健专家在治疗高血压方面不够积极,但所评估的态度均与治疗实践无显著关联。只有一半的样本建议所有患者戒烟。怀疑自己戒烟建议有效性或不知道对吸烟患者说什么的医生提供建议的可能性较小。大多数医生认为他们的吸烟患者缺乏足够的戒烟动力。鼓励医生增加戒烟活动的项目应针对这些态度。

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Cochrane Database Syst Rev. 2002;2002(3):CD001745. doi: 10.1002/14651858.CD001745.
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