哮喘联盟

   摘要
   背景：吸烟可以导致发病率和死亡率显著升高。虽然研究表明当医疗服务提供者建议戒烟时，吸烟者戒烟的可能性更大，但仍有很多患者并没有意识到提供者给予了这个建议。
   目的：通过一项调查确定提供者视觉线索是否能提醒患者意识到提供过的戒烟建议。另外一个目的是评估其对特定内容咨询频率的影响。
   方法：这是一项前后测试设计的半试验干预研究。本干预以附在账单上的戒烟热线卡形式促进提供者建议戒烟。患者调查包括6项内容，每项1分。结果比较干预前后平均调查得分，并记录每项内容的分布情况。
   结果：40位吸烟者完成干预前调查；46位患者参与干预后调查。两组在年龄、性别或种族方面相似，没有显著差异。干预前和干预后平均调查得分分别为4.1分和5.1分（P < 0.05）。与干预前相比，干预后更多患者意识到戒烟课程建议(40% vs 83%, P <0 .05)。对其他咨询内容的意识程度无显著差异。
   结论：提供视觉提示，如戒烟热线卡，是促进医疗服务提供者提供戒烟建议的一种有效和经济的方法，并易于实践。我们的结果表明这个方法可改善患者对咨询建议的认知程度，并可能通过教育改善公共健康。
 

（刘国梁 审校）
J Prim Care Community Health. 2014 Jan 8. [Epub ahead of print]

 

Smoking Cessation Counseling in Family Medicine: Changing Patient Perceptions.
 

Johns TL, Metzger K, Lawrence E.
 

Abstract
BACKGROUND: Tobacco use causes significant morbidity and mortality. Although studies show that people who smoke cigarettes are more likely to quit when health care providers recommend cessation, many patients may not perceive that advice was given.
PURPOSE: Using a survey, to determine if a provider visual cue improves patient perception that smoking cessation counseling occurred. Another objective is to evaluate effects on frequency of specific counseling elements.
METHODS: This was a quasi-experimental intervention study with a pre-post test design. The intervention was a quitline reference card attached to the billing form as a prompt for providers to address smoking cessation. The patient survey included 6 elements, each assigned 1 point. The outcomes were the mean survey summary score preintervention compared to postintervention and the distribution of individual elements.
RESULTS: Preintervention, 40 patients who smoke cigarettes completed the survey; 46 patients were enrolled postintervention. The groups were similar, with no significant differences in age, gender, or race/ethnicity. Mean survey summary scores pre- and postintervention were 4.1 and 5.1, respectively (P < .05). Compared with preintervention, more patients perceived the recommendation for a smoking cessation course postintervention (40% vs 83%, P < .05). No significant differences in perceptions of other counseling elements were found.
CONCLUSIONS: Providing a visual cue such as a quitline card is an effective and inexpensive means of prompting a provider to discuss smoking cessation and can be easily integrated into practice. Our results indicate that this strategy improves patient perceptions of counseling with potential to improve community health through education.
 

J Prim Care Community Health. 2014 Jan 8. [Epub ahead of print]