Hahn E J, Warnick T A, Plemmons S
University of Kentucky College of Nursing, Lexington 40536-0232, USA.
J Addict Dis. 1999;18(4):89-101. doi: 10.1300/J069v18n04_08.
Substance abusers are more likely to smoke cigarettes than the general population. Yet, in most drug treatment programs smoking cessation receives little attention. The purposes of this study were to: (1) examine substance abuse counselors' attitudes toward and practices related to nicotine addiction and smoking cessation treatment; and (2) describe barriers to smoking cessation treatment and smoking policies in substance abuse treatment facilities. A total of 254 substance abuse counselors in Kentucky completed mailed questionnaires (53% response rate). Almost one-fourth were current smokers. Smoking and nonsmoking counselors differed in their attitudes toward nicotine addiction, barriers to treatment, and satisfaction with smoking cessation training. Few counselors routinely followed the clinical preventive guidelines with nicotine-dependent clients. However, they were receptive to providing smoking cessation treatment. Over half of the drug treatment programs banned indoor smoking, but permitted smoking on facility grounds. Implications for policy change by national addiction certification and licensing organizations and state accreditation authorities are discussed.
物质滥用者比普通人群更有可能吸烟。然而，在大多数戒毒治疗项目中，戒烟很少受到关注。本研究的目的是：（1）调查物质滥用顾问对尼古丁成瘾和戒烟治疗的态度及相关做法；（2）描述戒毒治疗机构中戒烟治疗的障碍和吸烟政策。肯塔基州共有254名物质滥用顾问完成了邮寄问卷调查（回复率为53%）。近四分之一的人是当前吸烟者。吸烟和不吸烟的顾问在对尼古丁成瘾的态度、治疗障碍以及对戒烟培训的满意度方面存在差异。很少有顾问会常规地遵循针对尼古丁依赖客户的临床预防指南。然而，他们愿意提供戒烟治疗。超过一半的戒毒治疗项目禁止室内吸烟，但允许在机构场地内吸烟。文中还讨论了国家成瘾认证和许可组织以及州认证机构政策变革的影响。
