医院と総合病院の医師の喫煙状態と禁煙指導の差異  [in Japanese] Difference in Smoking Status and Smoking Cessation Intervention between Clinic Doctors and General-hospital Doctors  [in Japanese]

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Abstract

医院と総合病院医師の禁煙指導に違いがあるであろうか。アンケートにより都内の医院医師245人(C群)と総合病院医師366人(G群)を比較した。その結果喫煙率は両群とも本邦の一般市民より低率であり, 年齢による傾向は見られなかった。診療中患者に喫煙状態を聞いている医師の割合に差がなかったが, 聞いている医師の間では, 疾患により必要があれば聞く医師に比し, 全員/ほとんど全員に聞く医師はG群で多かった。喫煙患者に禁煙アドバイスをしている医師はC群で多かったが, している医師の間では積極的にしている医師がG群で多かった。C群では医師自身の喫煙状態や喫煙に対する態度が禁煙指導の熱意と関連したが, G群ではこの関連を認めなかった。以上より, C群の医師は患者に禁煙アドバイスを行いやすい環境にあること, G群には専門診療分野の性格上これを行いにくい医師と禁煙指導に積極的な医師がいることが推測された。

Are clinic doctors carrying out a smoking cessation intervention differently from general-hospital doctors? We carried out a questionnaire and compared the answers from 245 clinic doctors (group C) and 366 general-hospital doctors (group G). Their smoking prevalence rate was lower than that of the general population, and no trend with regard to age was seen in the prevalence. In spite of there being no difference in the rate of doctors asking their patients about smoking status, group G doctors were more likely to ask almost all patients regardless of their disease, than group C. However, in group C, more doctors advised smoking patients to stop smoking, whereas group G doctors advised more actively. The doctors' smoking status and attitude towards smoking influenced their smoking cessation advice in group C whereas such a trend was not detected in group G. It appears that clinic doctors are situated at more suitable position to give their patients advice to stop smoking during routine consultations. In contrast, it is likely that among general-hospital doctors, some hardly have a chance to give advice whereas others are more active in giving advice under the influence of their specialties.

Journal

  • The Journal of the Japan Society for Respiratory Endoscopy

    The Journal of the Japan Society for Respiratory Endoscopy 20(6), 467-471, 1998

    The Japan Society for Respiratory Endoscopy

References:  14

Cited by:  1

Codes

  • NII Article ID (NAID)
    110002820575
  • NII NACSIS-CAT ID (NCID)
    AN00357687
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0287-2137
  • Data Source
    CJP  CJPref  NII-ELS  J-STAGE 
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