Table 1.
Clinical practice of healthcare personnel during first and subsequent medical consultations with smokers in primary care clinics of Mexico City, n = 70.
Practice in the first consultation |
Physicians |
Nurses |
P b | |||
---|---|---|---|---|---|---|
n % | n% | |||||
| ||||||
Ask whether the patient smokes or uses any | No | 16 | 42.1 | 19 | 65.5 | .057 |
tobacco products | Yes | 22 | 57.9 | 10 | 34.5 | |
Ask whether the patient is exposed to | No | 28 | 73.7 | 22 | 75.9 | .839 |
second-hand smoke | Yes | 10 | 26.3 | 7 | 24.1 | |
If the patient smokes, ask whether they want | No | 12 | 34.3 | 19 | 73.1 | .003 |
to quit | Yes | 23 | 65.7 | 7 | 26.9 | |
If the patient smokes, offer advice on how to | No | 16 | 45.7 | 17 | 70.8 | .056 |
quit smoking | Yes | 19 | 54.3 | 7 | 29.2 | |
If the patient smokes, discuss whether they | No | 23 | 78.1 | 18 | 90.0 | .285 |
need pharmacotherapy for smoking cessation (NRT, bupropion, varenicline)a | Yes | 7 | 21.9 | 2 | 10.0 | |
If the patient smokes and if necessary, offer | No | 15 | 45.5 | 14 | 66.7 | .128 |
pharmacotherapy treatment or refer to a specialist clinica | Yes | 18 | 54.5 | 7 | 33.3 | |
During the subsequent consultation | ||||||
Ask about current tobacco use | No | 12 | 36.4 | 16 | 76.2 | .006 |
Yes | 21 | 63.6 | 5 | 23.8 | ||
Ask whether the patient who smokes has quit | No | 12 | 37.5 | 16 | 76.2 | .011 |
smoking or has use any tobacco products | Yes | 20 | 62.5 | 5 | 23.8 | |
Ask whether the patient who smokes has | No | 17 | 53.1 | 17 | 81.0 | .046 |
relapsed in their use of tobacco | Yes | 15 | 46.9 | 4 | 19.0 | |
Reinforce messages about the importance of | No | 8 | 24.2 | 14 | 63.6 | .003 |
quitting smoking | Yes | 25 | 75.8 | 8 | 36.4 |
These activities are not specific functions of nurses in Mexico.
p-value calculated using the t-test and χ2 test.