评估患者对吸烟和慢性胰腺炎的认识:一项试点研究。

Josna Haritha, C Mel Wilcox
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引用次数: 0

摘要

目的:在过去十年中,人们发现吸烟与慢性胰腺炎之间存在密切联系。一些研究表明,吸烟可能是导致慢性胰腺炎的一个比酒精更重要的原因,而且两者具有叠加性。我们研究的主要目的是测试问卷的使用情况,以评估患者对吸烟与胰腺疾病相关知识的了解程度:在 2013 年的 9 个月中,我们对阿拉巴马大学伯明翰分校胰腺门诊的转诊患者进行了前瞻性问卷调查。该问卷的主要目的是调查患者对吸烟与胰腺疾病相关性的认识;然而,该问卷还旨在评估医患之间就一般吸烟和胰腺疾病的沟通情况,以及患者的戒烟改变阶段:18 名患者(平均年龄 52 岁;85% 为男性)参与了分析。数据分析显示,56%的患者知道吸烟与慢性胰腺炎的关系,72%的患者知道酒精与胰腺炎的关系。患者认为医生是他们了解慢性胰腺炎病因的重要参考来源,但只有 39% 的患者表示他们的医生特别提到过吸烟对胰腺的影响:结论:有必要开展涉及更多研究人群的详细研究,以更好地确定测量工具,并进一步评估患者对吸烟与慢性胰腺炎之间关系的了解程度。此外,还应努力提高医生对这一既定关系的认识,以及患者教育的重要性。
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Evaluation of Patients' Knowledge Regarding Smoking and Chronic Pancreatitis: A Pilot Study.

Objective: Over the last decade, a strong association has been found between smoking and chronic pancreatitis. Some studies suggest that smoking may be a more important cause of chronic pancreatitis than alcohol and the two are additive. The primary purpose of our study was to test the use of a questionnaire to assess patient's knowledge regarding the association of smoking with pancreatic disease.

Methods: The questionnaire was administered prospectively during a 9 month period in 2013 to patients referred to a pancreas clinic at the University of Alabama Birmingham. The primary purpose of the questionnaire was to investigate patient awareness regarding the association of smoking with pancreatic disease; however, it was also designed for assessing doctor-patient communication regarding smoking in general and pancreatic disease specifically and the patient's stage of change for quitting smoking.

Results: Eighteen patients (mean age 52 years; 85% male) were used for the analysis. The data analysis showed that 56% of patients were aware of the relationship between smoking and chronic pancreatitis and 72% were aware about alcohol and pancreatitis. Patients related that physicians were an important reference source for their knowledge regarding the causes of chronic pancreatitis, but only 39% stated that their physician had specifically mention the effect of smoking on the pancreas.

Conclusion: Elaborate studies involving greater number of study population, are necessary to better define measuring tools and to further assess patient's knowledge regarding the relationship between smoking and chronic pancreatitis. Additionally, efforts should be directed towards enhancing physician's knowledge on this established relationship and the importance of patient education as well.

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