This report relates to the 1,667 responses to a selfadministered mail-back questionnaire sent by BELTA to a sample of 4,643 physicians (17.3% current smokers) who are in professional contact with patients (response rate: 35.9%). Links between active smoking and disease are considered as well-demonstrated by 98.8% physicians and for passive smoking by 85.3%, for foetal consequences of smoking during pregnancy by 96.4%. Nicotine dependence is admitted by 83.3%. Interaction of smoking with drug metabolism is insufficiently known. Modulation of the specific approach of smoking cessation, according to the various stages of the cessation cycle, to the level of nicotine dependence and to the psychological status of the smoker is not sufficiently perceived by the physicians. Patient's smoking status is systematically determined by less than half the physicians, of whom nearly 90% claim to inform their smoking patients on smoking-related risks, and 84.2% to tackle the problem of cessation. The intervention is mostly limited to a firm advice, completed by nicotine replacement for a maximum of 50% of smokers (especially gum and patch). Referral to specialized structures is unfrequent (between 10 and 20%). Follow up after cessation is clearly deficient. In this retrospective study of their activity patterns, physicians' reports may reflect their intentions rather than their actual practices. We conclude that smoking issues and cessation techniques should be more intensively taught both at graduate and postgraduate levels, in order to obtain a more active behaviour of health professionals against smoking.

译文

本报告涉及对BELTA发送给与患者有专业接触的4,643医生 (17.3% 目前的吸烟者) 样本的自我管理的回邮问卷的1,667答复 (回复率: 35.9%)。98.8% 医生认为主动吸烟与疾病之间的联系以及85.3% 被动吸烟以及96.4% 怀孕期间吸烟的胎儿后果都得到充分证明。83.3% 承认尼古丁依赖。吸烟与药物代谢的相互作用尚不清楚。根据戒烟周期的各个阶段,对尼古丁依赖水平和吸烟者的心理状况的特定戒烟方法的调节没有被医生充分感知。患者的吸烟状况由不到一半的医生系统地确定,其中近90% 名医生声称告知吸烟患者与吸烟有关的风险,并84.2% 解决戒烟问题。干预主要限于坚定的建议,由尼古丁替代完成,最多50% 的吸烟者 (尤其是口香糖和贴片)。转介到专门结构是不频繁的 (10到20% 之间)。戒烟后的随访明显不足。在对他们的活动模式进行的回顾性研究中,医生的报告可能反映了他们的意图,而不是他们的实际做法。我们得出的结论是,应该在研究生和研究生阶段更深入地教授吸烟问题和戒烟技巧,以使卫生专业人员更加积极地反对吸烟。

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