Improving smoking cessation advice in Australian general practice: what do GPs suggest is needed?
Improving smoking cessation advice in Australian general practice: what do GPs suggest is needed?
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DOI：
10.1111/j.1467-842x.1998.tb01492.x
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发表时间：
1998-12-01
影响因子：
3.5
通讯作者：
Ward, JE
中科院分区：
文献类型：
--
作者：
Young, JM;Ward, JE
全科医生 (GP) 的戒烟建议可显着提高吸烟患者的戒烟率。然而，在与吸烟者的大多数例行咨询中，并未讨论吸烟问题。这项研究描述了全科医生自己对支持其戒烟建议的策略的看法。 1997 年，新南威尔士州随机抽取了 311 名全科医生（回复率为 73%），完成了一份有关戒烟的自填问卷。大多数受访者对讨论吸烟对健康的影响“非常有信心”（81.7%）。对于协商戒烟日期（21.5%）或使用基于证据的戒烟技术（19.3%）有信心的人更少。支持戒烟建议的三大首选策略都是为患者提供的资源：补贴尼古丁替代疗法（60.5％的人认为“非常有用”）、小册子（55.0％）和免费进入戒烟诊所（50.8％）。技能培训（39.7%）是提高从业人员效率的首选资源。将技能培训与患者资源相结合的干预措施可能会受到全科医生的好评。
Smoking cessation advice from a general practitioner (GP) significantly increases quit rates among patients who smoke. However, smoking is not discussed during most routine consultations with smokers. This study describes GPs' own views about strategies to support their cessation advice. In 1997, a random sample of 311 GPs in NSW (73% response rate) completed a self-administered questionnaire about smoking cessation. Most respondents were 'very confident' about discussing the health effects of smoking (81.7%). Fewer were as confident about negotiating a quit date (21.5%) or using evidence-based smoking cessation techniques (19.3%). The top three preferred strategies to support smoking cessation advice were all resources for patients: subsidised nicotine replacement therapy (rated as 'quite useful' by 60.5%), pamphlets (55.0%) and free access to smoking cessation clinics (50.8%). Skills training (39.7%) was the preferred resource to improve practitioner effectiveness. Interventions combining skills training with patient resources are likely to be well received by GPs.