eISSN: 2720-5371
ISSN: 1230-2813
Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii
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3/2021
vol. 30
 
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abstract:
Original paper

Real-life anti-smoking practices among Polish neurologists

Magdalena Konopko
1
,
Przemysław Bieńkowski
2
,
Marcin Wojnar
2
,
Jerzy Samochowiec
3
,
Danuta K. Ryglewicz
1
,
Halina Sienkiewicz-Jarosz
1

  1. 1st Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland
  2. Department of Psychiatry, Medical University of Warsaw, Poland
  3. Department of Psychiatry, Pomeranian University of Medicine, Szczecin, Poland
Adv Psychiatry Neurol 2021; 30 (3): 162-169
DOI: https://doi.org/10.5114/ppn.2021.110680
Online publish date: 2021/11/26
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Introduction
The aim of the present study was to assess attitudes of Polish neurologists towards cigarette smoking and their real-life anti-smoking practices.

Material and methods
A study questionnaire was constructed, and distributed among Polish neurologists (n = 101; 73% females). More than two thirds (70%) of the study group worked in in-patient neurological wards with separate stroke units.

Results
Seventy five percent of the study group documented the smoking status of their patients in medical files. Two thirds of the study group collected data on patient’s cigarette smoking during each visit. Only 54% and 22% of study participants routinely assessed the severity of tobacco dependence and diagnosed tobacco dependence according to the ICD-10 criteria, respectively. Two thirds of physicians declared routinely using any anti-smoking intervention, but only 12% used the recommended 5’A (Ask, Advice, Assess, Assist, Arrange) model of behavioral intervention and only 11% introduced Evidence Based Medicine (EBM)-supported pharmacotherapy. The vast majority of study participants (80%) did not try to increase their professional skills in anti-smoking interventions.

Conclusions
Real-life anti-smoking practices among Polish neurologists are generally unsatisfactory and do not follow EBM-based guidelines. The low percentage of neurologists who diagnose and treat nicotine dependence may negatively impact the efficacy of secondary stroke prevention in Poland.

keywords:

smoking, intervention, stroke, attitudes, neurologists
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