Pembelajaran Penyakit Terkait Perilaku, Merokok, dan Edukasi untuk Berhenti Merokok di Pendidikan Dokter Fakultas Kedokteran UGM

https://doi.org/10.22146/jpki.25199

Yayi Suryo Prabandari(1*)

(1) Fakultas Kedokteran, Universitas Gadjah Mada Yogyakarta
(*) Corresponding Author

Abstract


Background: As the third big populous smoker country in the world, smoking-related diseases have become a major cause of death in Indonesia. Physician should play role in preventing tobacco epidemic. Therefore, the medical curriculum should prepare graduates who will be competent to explain the health effects of smoking behavior and help patients quit smoking. This study proposed to describe how far tobacco and smoking topic were thought in the medical school curriculum and assess student attitudes toward the necessity of physicians to routinely asked on smoking behavior, advice patients to stop smoking as well as the important of physician to receive smoking related diseases education in medical school.

Method: The study was based on five separate cross sectional surveys carried out in 200, 2007, 2009, 2010 and 2011. Participants were 1696 students (733 males and 963 females) of Faculty of Medicine, Universitas Gadjah Mada (FM UGM). They were the Non- Problem Based Learning Curriculum (N-PBLC), the PBL Curriculum (PBL-C) and the Competency Based Curriculum (CBC) batches. Data was collected through a self-administered questionnaire. Descriptive analysis was used to present the data.

Results: Cigarettes smoking topic had been delivered in FM UGM by several lectures (N-PBLC students) and blocks (the PBL-C and the CBC students). The amount of 40,6 % to 83,5 % students in 5 years surveys reported that they had been trained on subjects that discussed the cigarette smoking topic. Topics on how to help quit smoking reported lower (12,3%-50%) than topic of tobacco related diseases or tobacco and public health. The majority of students mentioned that doctors should ask and give advice or patient’ education (96,7 % - 99,8 %). More than 95 % of students stated that the teaching that addresses cigarette smoking related diseases is important to be taught and trained in medical school.

Conclusion: Teaching and learning on the subject of cigarette smoking related diseases have been given, but needs to be improved, particularly on skills to help patients quit smoking.


Keywords


Curriculum, tobacco related diseases, medical education

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References

  1. WHO. MPOWER. Jakarta: WHO; 2008.
  2. Global Adult Tobacco Survei: Indonesia Report 2011. India: World Health Organization Regional Office for South-East Asia; 2012.
  3. Global status report on non-communicable diseases 2010. Geneva: World Health Organization; 2011.
  4. Tonstada S, Johnstonba A. Cardiovascular risks associated with smoking: a review for clinicians. Eur J Cardiovasc Prev Rehabil, 2006; 13:507–514.
  5. Nakamura K, Barzi F, Lam TH, Huxley R, Feigin VL, Ueshima H,Woo J, Gu D, Ohkubo T, Lawes CCM, Suh I, Woodward M, for the Asia Pacific Cohort Studies Collaboration. Cigarette Smoking, Systolic Blood Pressure, and Cardiovascular Diseases in the Asia-Pacific Region Stroke, 2008; 39:1694-1702.
  6. Kuper H, Adami HO, Boffetta P. Tobacco use, cancer causation and public health impact. Journal of Internal Medicine, 2002; 251: 455–466.
  7. Chiang CY, Enarson K, Enarson DA. Associations between tobacco and tuberculosis. Int J Tuberc Lung Dis, 2007; 11(3):258–262.
  8. Pelkonen M. Smoking: relationship to chronic bronchitis, chronic obstructive pulmonary disease and mortality. Current Opinion in Pulmonary Medicine. 2008;14:105–109.
  9. Law MR, Wald NJ. Environmental Tobacco Smoke and Ischemic Heart Disease. Progress in Cardiovascular Diseases, 2003; 46 (1) July/August: 31-38.
  10. Djaya S. Transisi epidemiologi di Indonesia dalamdua dekade terakhir dan implikasi pemeliharaan kesehatan menurut Survei Kesehatan Rumah Tangga, Surkernas, Riskesdas (1986-2007). Bul. Penelit. Kesehat. 2012; 40(3): 142 – 153.
  11. NCD Country Profile. Geneva: WHO; 2012.
  12. KIPDI III. Jakarta: Konsil Kedokteran Indonesia; 2006.
  13. Konsil Kedokteran Indonesia. Standard Kompetensi Dokter Indonesia. Jakarta: Konsil Kedokteran Indonesia; 2010.
  14. Ng N, Prabandari YS, Padmawati RS, Okah F, Haddock CK, Nichter M, Nichter M., Muramoto M, Poston WSC, Pyle S, Mahardinata N, Lando HA. Physician assessment of patient smoking in Indonesia: a public health priority. Tobacco Control, 2007; 16(3):190-6.
  15. Prabandari YS, Dewi A. Pola penggalian riwayat dan edukasi gaya hidup pada pasien berobat di Puskesmas Daerah Istimewa Yogyakarta: Sudah siapkah dokter Puskesmas menghadapi peningkatan prevalensi penyakit terkait gaya hidup. Prosiding Pertemuan Jaringan Epidemiologi Nasional. Solo, Sept 2012.
  16. Noordman J, Verhaak P, and van Dulmen S. Discussing patient’s lifestyle choices in the consulting room: analysis of GP-patient consultations between 1975 and 2008. Cited on 30 of December 2013. BMC Family Practice, 2010;11:87. Available from: http://www.biomedcentral. com/1471-2296/11/87.
  17. Spangler JG, George G, Foley KL, Crandall SJ. Tobacco intervention training – current efforts and gaps in US medical schools. JAMA, Sept 2002; 288(9): 1102-1109.
  18. Geller AC, Zapka J, Brooks KR, Dube C, Powers CA, Rigotti N, O’Donnell J, Ockene J. for the prevention and cessation education consortium. Tobacco control competencies for US medical students. Am J Public Health. 2005; 95(6):950-955.
  19. Silagy C, Stead LL. Physician advice for smoking cessation. Oxford, England Cochrane Library,Update Software; 2001, issue 2.
  20. Richmon RL, Debono DS, Larcos D, Kehoe L. Worldwide survey of education on tobacco in medical schools. Tob Control. 1998; 7:247-252.
  21. Kosowicz LY, Pfeiffer CA, Vargas M. Long-term retention of smoking cessation counseling skills learned in the first year of medical school. Society of General Internal Medicine. 2007; 22:1161-1165.
  22. Sreeramareddy CT, Suri S, Menezes RG, Kumar HNH, Rahman M, Islam MdR, Pereira XV, ShahM., Sathian B, Shetty U, Vaswani VR. Self-reported tobacco smoking practices among medical students and their perceptions towards training about tobacco smoking in medical curricula: A cross-sectional, questionnaire survey in Malaysia, India, Pakistan, Nepal, and Bangladesh. Substance Abuse Treatment, Prevention, and Policy 2010; 5:29.
  23. Nichter M. Introducing tobacco cessation in developing countries: an overview of Project Quit Tobacco International. Tobacco Control. 2008; 15:12-17.
  24. WHO. Global Health Professions Student Survey. Geneva: WHO; 2009.
  25. Kusma B, Quarcoo D, Vitzthum K, Welte T, Mache S, Meyer-Falcke, Groneberg DA, Raupach T. A Berlin’smedical students’ smoking habits, knowledge about smoking and attitudes toward smoking cessation counseling. Journal of Occupational Medicine and Toxicology 2010, 5:9.
  26. Cape G, Hannah A, Sellman D. A longitudinal evaluation of medical student knowledge, skills and attitudes to alcohol and drugs. Addiction 2006; 101: 841–849.
  27. Prabandari, YS. Smoking Inoculation to Prevent the Uptake of Smoking among Junior High School Students in Yogyakarta Municipality, Indonesia. Unpublished Doctorate Dissertation at the University of Newcastle, Australia; 2006.
  28. Roddy E, Rubin P, Britton J. A study of smoking and smoking cessation on the curricula of UK medical schools. Tobacco Control, 2004; 13:74-77.
  29. Powers CA, Zapka JG, Bognar B, Dube C, Ferry LH, Ferguson KJ, O’Donnell JF, Rigotti N, Thomson CC, White M, Wilkerson L, Geller AC, McIntosh S. Evaluation of current tobacco curriculum at 12 US medical schools. Journal of Cancer Education 2004; 19(4): 212-19.
  30. Richmond R, Taylor R. Global dissemination of tobacco curriculum in medical school. Int J Tuberc Lung Dis. 2006; 10(7):700-5.
  31. Fadhil I. Tobacco education in medical schools: survey among primary care physicians in Bahrain Eastern Mediterranean Health Journal 2009; 15(4): 969.
  32. Karlikaya C, Ozdemir L. Did unprogrammed tobacco control efforts over seven years decrease smoke prevalence in the medical school? Tuberkuloz ve Toraks Dergisi, 2011; 59(1): 18-26.
  33. Grassi MC, Chiamulera C, Baraldo M, Culasso F, Ferketich AK, Raupach T, Patrono C, Nencini P. Cigarette Smoking Knowledge and Perceptions among students in four Italian Medical Schools. Nicotine & tobacco research, sept 2012; 14 ( 9): 1065–72.
  34. Glanz K, Rimer BK, Viswanath K. Health Behavior and Health Advice. San Fransisco, USA: Jossey-Bass, a Wiley Imprint; 2008.
  35. Richmond R. The process of introducing a tobacco curriculum in medical school. Respirology. 2004; 9:165-72.
  36. Morbidity and Mortality Weekly Report (MMWR). Tobacco and cessation counseling – Global Professional Survey pilot study, 10 countries 2005. MMWR. 2005; 54:505-9.
  37. Cole SA, & Bird J. The Medical Interview. St. Louis: Mosby, 2000.
  38. Konsil Kedokteran Indonesia. Standar Kompetensi Dokter Indonesia. Jakarta: KKI, 2012



DOI: https://doi.org/10.22146/jpki.25199

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