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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Physician intervention and patient risk perception among smokers with acute respiratory illness in the emergency department.
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Physician intervention and patient risk perception among smokers with acute respiratory illness in the emergency department.

机译：急诊科有急性呼吸系统疾病的吸烟者的内科医生干预和患者风险感知。

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BACKGROUND. Acute Respiratory Illness accounts for over 12 million visits to emergency departments in the United States each year. Between one-fourth and one-half of these patients are smokers. We examined the frequency of physician intervention for smoking cessation among acute respiratory illness patients in the emergency department, and examined the influence of physician intervention on patients' perceived risk from smoking and motivation to quit. METHODS. This study was conducted in the emergency department of a large inner-city hospital. Adult smokers (n = 63) presenting with symptoms of acute respiratory illness were surveyed by exit interview while in the emergency department. The frequency and extent of physician interventions for smoking were examined using the Agency for Health Care Policy and Research guidelines as a model. We also assessed patients' perceptions of risk from smoking, the presence of other household smokers, and the patients' motivation to quit. RESULTS. Emergency department physicians provided incomplete and inconsistent intervention for smoking. While most patients reported being asked if they smoked, only half of smokers were advised to quit. Only 9% were offered any assistance with quitting. Risk perception was generally low, however, the majority of smokers were willing to receive on-site smoking cessation counseling while in the emergency department. CONCLUSIONS. The small sample size in this study requires that results be interpreted with caution. However, the findings of this study suggest that the emergency department setting may provide a unique "teachable moment" in which to initiate smoking cessation counseling for this high-risk population. Copyright 2001 American Health Foundation and Academic Press.
机译：背景。每年，急性呼吸系统疾病导致前往美国急诊室的访问次数超过1200万。这些患者中有四分之一到二分之一是吸烟者。我们检查了急诊科对急性呼吸道疾病患者戒烟的医生干预频率，并调查了医生干预对患者吸烟和戒烟动机的感知风险的影响。方法。这项研究是在一家大型市中心医院的急诊室进行的。在急诊室通过出口访谈对表现出急性呼吸道疾病症状的成年吸烟者（n = 63）进行调查。使用卫生保健局政策和研究指南作为模型，检查了医生干预吸烟的频率和程度。我们还评估了患者对吸烟风险的感知，其他家庭吸烟者的存在以及患者戒烟的动机。结果。急诊科医师为吸烟提供了不完全和不一致的干预措施。虽然大多数患者报告被询问是否吸烟，但建议仅一半的吸烟者戒烟。只有9％的人获得了戒烟方面的帮助。风险感知普遍较低，但是，大多数吸烟者愿意在急诊室接受现场戒烟咨询。结论。本研究中的样本量较小，需要谨慎解释结果。但是，这项研究的结果表明，急诊科的设置可能会提供一个独特的“可教导的时刻”，以便为这一高风险人群提供戒烟咨询服务。版权所有2001美国健康基金会和学术出版社。

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