การช่วยเลิกบุหรี่ในคลินิกทันตกรรม สังกัดสำนักอนามัย กรุงเทพมหานคร

Abstract

ABSTRACT

The objectives of this research were to study a smoking cessation program using 5A’s indental clinics, the Health Department of the BMA, dental personnel’s opinions on organizationcontexts, attitudes towards a smoking cessation program, and the relationships between theirattitudes and the program. The questionnaires were administered to 193 personnel. Descriptive andstatistical analyses were used. There was an 80.82% response rate. The results showed that 98%reported that their workplace had a tobacco control policy, 92.9% had information and a tobaccocessation service. The application of the 5A’s were as follows: Asking (96.8%), Advising (98.1%),Assessing (89.1%), Assisting (57.1%) and Arranging or follow-up (60.9%). About 80% used teamworkin cessation services, 93.6% reported that they had assigned responsible persons. Thirty percentreported that health education materials in smoking cessation were inadequate, whereas 19.9% neededsmoking cessation training in order to improve skills necessary to run an effective cessationservice. Overall dental personnel attitudes towards a smoking cessation program were positive(mean 3.99, SD 0.53).

There is a relationship between the overall attitude scores and the smoking cessationservices : assisting and arranging activities ( p=0.004, p=0.004). Statistically significant relationshipswere found between attitudes and smoking cessation services in the following aspects: Dentalpersonnel can motivate a patient to quit smoking (A4; p = 0.004, A5; p = 0.001); thesmoking status of patients should be asked as a part of routine history taking (A4; = 0.021, A5; =0.005); a smoking cessation program might interrupt dental services (A4; p = 0.013), andit is not the responsibility of the smoking cessation service (A4; p = 0.025, A5;p = 0.027). Appropriate training, capacity building in order to increase positive attitudesin those aspects, and health education materials are needed to support a smoking cessation programin dental clinics, and at the Health Department, BMA.

Key words: Smoking cessation program; 5A’s; Dental clinics