Knowledge of and practices related to smoking cessation among physicians in Nigeria
Knowledge of and practices related to smoking cessation among physicians in Nigeria
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DOI：
10.1590/s1806-37132009001200006
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发表时间：
2009-12-01
影响因子：
2.7
通讯作者：
Nwogu, Kelechukwu Chukwudi
中科院分区：
文献类型：
--
作者：
Desalu, Olufemi Olumuyiwa;Adekoya, Adebowale Olayinka;Nwogu, Kelechukwu Chukwudi
目的：评估尼日利亚医生戒烟知识和实践情况。方法：我们在拉各斯和尼日利亚的三个地缘政治区域进行了横断面调查。采用了一份自我管理的结构化问卷，从436名医生那里获得了关于烟草使用及其对健康的影响以及戒烟知识和做法的信息。结果：436名医生中，有292名（67.0%）了解戒烟知识，但仅有132名（30.3%）了解戒烟知识。医生吸烟率为17.7%。此外，308名医生（70.6%）报告说，医学院课程中的烟草教育不足。436名医生中，372名（86.2%）医生询问患者是否吸烟，172名（39.4%）医生询问患者吸烟的原因。作为戒烟干预手段，268人（61.5%）使用简短建议/咨询（2-5分钟），12人（3.7%）使用抗抑郁药，16人（2.8%）使用尼古丁替代疗法（NRT）， 76人（17.4%）安排随访。当医生被问及戒烟干预的障碍时，289人（66.3%）表示对该问题缺乏了解，55人（12.6%）表示缺乏时间，20人（4.6%）表示无法获得NRT。结论：本研究的结果突出了尼日利亚医生在戒烟方面缺乏知识，以及他们未能应用适当的做法。本研究的结果可以进一步评估和制定戒烟指南和医生的吸烟教育方案。我们的发现还强调了在所有治疗机构提供戒烟计划的必要性。
Objective: To evaluate the knowledge and practices of smoking cessation among physicians in Nigeria. Methods: We conducted a cross-sectional survey in Lagos and three geopolitical zones of Nigeria. A self-administered structured questionnaire was used to obtain information on tobacco use and its health effects, as well as on the knowledge and practices of smoking cessation, from 436 physicians. Results: Of the 436 physicians, 292 (67.0%) were aware of smoking cessation, but only 132 (30.3%) showed good knowledge on this topic. The prevalence of smoking among the physicians was 17.7%. In addition, 308 physicians (70.6%) reported that tobacco education in the medical school curriculum was inadequate. Of the 436 physicians, 372 (86.2%) asked their patients whether they smoked, and 172 (39.4%) asked their patients the reasons for using tobacco. As a means of smoking cessation intervention, 268 (61.5%) used brief advice/counseling (2-5 min), 12 (3.7%) prescribed antidepressants, 16 (2.8%) prescribed nicotine replacement therapy (NRT), and 76 (17.4%) arranged follow-up visits. When the physicians were questioned regarding the obstacles to smoking cessation interventions, 289 (66.3%) cited poor knowledge of the issue, 55 (12.6%) cited a lack of time, and 20 (4.6%) cited unavailability of NRT. Conclusions: The results of this study highlight the lack of knowledge among physicians in Nigeria in terms of smoking cessation, as well as their failure to apply appropriate practices. The results of this study can further the evaluation and formulation of guidelines on smoking cessation and smoking education programs for physicians. Our findings also underscore the need to offer smoking cessation programs in all treatment facilities.