Richter K P, Ahluwalia J S
Department of Preventive Medicine, University of Kansas School of Medicine, Kansas City 66160-7303, USA.
J Addict Dis. 2000;19(4):35-52. doi: 10.1300/J069v19n04_04.
Most persons attending drug treatment smoke cigarettes. They will eventually experience predictable, but devastatingly high, tobacco-related mortality. Recent studies indicate that many clients are ready to quit smoking and that quitting does not threaten progress made in treatment. Methadone and other opioid treatment providers are in an excellent position to address tobacco use among their clients. The present paper describes the prevalence of smoking among methadone clients, reviews promising interventions, and describes how programs can implement a systematic approach to smoking cessation that includes creating a cue system for identifying smokers, providing brief on-site intervention, and arranging follow-up or more intensive treatment.
大多数接受药物治疗的人都吸烟。他们最终将面临可预测但极高的与烟草相关的死亡率，这是极具破坏性的。最近的研究表明，许多患者愿意戒烟，而且戒烟并不会威胁到治疗所取得的进展。美沙酮和其他阿片类药物治疗提供者处于非常有利的地位，可以解决其患者中的吸烟问题。本文描述了美沙酮患者中的吸烟流行情况，回顾了有前景的干预措施，并描述了项目如何实施一种系统的戒烟方法，包括创建一个识别吸烟者的提示系统、提供简短的现场干预，以及安排后续跟进或更强化的治疗。
