外科医生和病人对术前戒烟的行为、认识和态度
2016/06/20
摘要
介绍：众所周知，吸烟是术后并发症的一个危险因素。术前戒烟有助于克服这些并发症。
问题：外科医生告知病人术前戒烟的重要性是减少吸烟有关的外科手术并发症的最有效的方法之一。医生建议病人的程度尚未确定。
方法：2013年，在国王哈立德大学医院，对符合条件的患者进行了一个描述性的、比较的横断面研究调查。同时，69名外科医生也参与了调查。所有参与者资料均随机收集，采用卡方分析法进行分析。
结果：曾经是吸烟者或被动吸烟者的外科病人，其吸烟频率（37.5%）比曾经吸烟者（12.5%）和被动吸烟者（8.3%）的更高，这证明了手术组（P = 0.001）比非手术组（P = 0.001）风险增加。与非手术组相比，大多数手术患者同意术前戒烟（95.3%）。超过一半（58.8%）的患者说，他们已经被外科医生告知在手术前戒烟。关于外科医生，66名非血管和非儿科医生回答了问卷（应答率：22.83%）。大多数的外科医生（60.9%）与吸烟病人进行了互动。关于戒烟，69.6%的外科医生建议吸烟患者术前戒烟2周以上。超过一半的外科医生（53.6%）相信，患者会听从术前戒烟的建议。
结论：参与这项研究的外科医生和患者都意识到戒烟可以改善结果，但大多数的外科医生没有提供关于停止吸烟的持续时间的简短建议。
（苏欣 审校）
Ann Thorac Med. 2016 Apr-Jun;11(2):132-40. doi: 10.4103/1817-1737.180021.
Behavior, knowledge, and attitude of surgeons and patients toward preoperative smoking cessation.
Hajjar WM1, Al-Nassar SA1, Alahmadi RM1, Almohanna SM1, Alhilali SM1.
Author information
Abstract
INTRODUCTION: Tobacco smoking is a well-known risk factor for postoperative complications. Quitting smoking prior to surgery helps overcome those complications.
PROBLEM: Surgeons' attention for educating their patients about the importance of smoking cessation prior to surgery is one of the most effective ways to reduce smoking-related surgical complications. The extent of advised patients by their surgeons has not been identified.
METHODS: A descriptive, comparative cross-sectional study using a survey was conducted in 2013 including eligible patients in King Khalid University Hospital. Simultaneously, 69 surgeons were included. All participant data were randomly collected and analyzed using Chi-square analysis.
RESULTS: The frequency of smokers is more in surgical patients (37.5%) when compared to ex-smokers (12.5%) and passive smokers (8.3%), which were ex- and passive smokers, and it demonstrated an increased risk (P = 0.001) for surgery group compared to the nonsurgery group (P = 0.001). When comparing with nonsurgery group, most surgical patients agreed to quit smoking before surgery (95.3%). More than half (58.8%) of the patients said that they have been advised by their treating surgeons to quit smoking before surgery. Concerning the surgeons, 66 nonvascular and nonpediatric surgeons responded to the questionnaire (response rate: 22.83%). The majority of the surgeons (60.9%) were interacting with smoker patients. With regard to smoking cessation, 69.6% surgeons have advised smoker patients to stop smoking for more than 2 weeks before surgery. More than half of the surgeons (53.6%) believed that patients quit smoking after preoperative smoking cessation advice.
CONCLUSION: The surgeons and patients who participated in this study were aware that smoking cessation improves outcomes, but most of the surgeons did not provide brief advice about time duration to stop smoking.
KEYWORDS: Smoking cessation; surgical complications; tobacco smoking
Ann Thorac Med. 2016 Apr-Jun;11(2):132-40. doi: 10.4103/1817-1737.180021.
上一篇：
慢性阻塞性肺疾病患者戒烟的新工具—一项尝试戒烟问卷的观察性纵向研究
下一篇：
一个随机临床试验来确定在吸烟肾移植患者队列中CO-血氧饱和度和禁烟的简短建议的有效性：一个随机对照试验的研究方案
