Tobacco Cessation Interventions in Tertiary Hospitals in Nigeria: An Audit of Patient Records
Autor: | Modupe Onigbogi, Oluwakemi Ololade Odukoya, Nkolika Uguru, Funmilola James, Mustapha Abubakar Jamda, Olalekan A. Ayo-Yusuf, Olanrewaju Onigbogi, Scott J. Leischow, Babalola Faseru |
---|---|
Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Psychological intervention Nigeria Audit Medical Records Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Documentation Humans Medicine 030212 general & internal medicine Practice Patterns Physicians' Tobacco Use Cessation business.industry Medical record Tobacco control Public Health Environmental and Occupational Health Checklist Cross-Sectional Studies Family medicine Smoking cessation Female Brief intervention business 030217 neurology & neurosurgery |
Zdroj: | Nicotine & Tobacco Research. 19:983-989 |
ISSN: | 1469-994X 1462-2203 |
Popis: | Background Patient medical records are an objective tool for the systematic identification and treatment of tobacco users. The aim of this study was to assess brief intervention tobacco cessation activities documented by physicians in some select tertiary hospitals in Nigeria. Methods We conducted a cross-sectional descriptive study using information obtained from 1588 randomly selected patient records in six teaching hospitals participating in a study to capacitate physicians to deliver brief advice. Trained data collectors collected data using a uniform checklist prior to the training of the physicians in these hospitals. Results Of the audited health records, 33.1% of patients had documentation of physicians' inquiry of their tobacco use mostly during out-patient clinics (37%) and by a resident doctor/medical officer (42.9%). Among identified tobacco users, it was documented that 12.9% were offered some form of tobacco cessation advice; readiness to quit was recorded in 2.6%; assistance with quitting was documented for 1.5% of tobacco users, while only 0.8% showed documentation of patient follow-up. Males and patients admitted to the hospital were 1.86 times and 2.14 times respectively more likely to have records of physicians' inquiry of their tobacco use. Patients who had tobacco-related morbidities and the unemployed were also more likely to have records of inquiry of their tobacco use. Conclusions There was poor documentation of tobacco use by physicians in these hospitals and many opportunities for brief intervention activities were missed. Efforts to educate the physicians on the importance of documenting tobacco use in clinical notes are recommended. Implications This study provides empirical evidence showing that there is poor documentation of tobacco use inquiry and brief intervention among physicians in tertiary hospitals in Nigeria. Records showing implementation of the 5A's were abysmally low and opportunities for brief intervention may have been missed. In line with the World Health Organization recommendations of Article 14 of the Framework Convention on Tobacco Control, efforts to promote brief intervention among physicians in tertiary hospitals in Nigeria should include an emphasis on appropriate documentation of tobacco control interventions in patient clinical notes. |
Databáze: | OpenAIRE |
Externí odkaz: |