Montagna R A, Hupcey J E
Lebanon Valley Family Medicine, Palmyra.
Clin Excell Nurse Pract. 2000 Jul;4(4):224-30.
The magnitude of individual and societal problems caused by tobacco use mandates that all primary care providers identify and advise smokers to quit. However, this topic has received little attention in the nurse practitioner literature. The purpose of this project is to identify effective methods by which advanced practice nurses can increase the identification and counseling of smokers by reviewing research on this topic. The articles for review were obtained through a computerized literature search and a review of related reference lists. The articles were analyzed and categorized into three groups: office-wide interventions to increase provider identification and counseling of smokers, smoking cessation training programs for providers, and studies using the stages of change theory. Provider smoking cessation programs and office-wide reminders increased the identification and counseling of patients who smoke. The stages of change theory helped explain the steps smokers must progress through to cease smoking. Interventions appropriate for various stages in the cessation process are suggested.
烟草使用所造成的个人和社会问题的严重程度要求所有初级保健提供者识别并建议吸烟者戒烟。然而，这一主题在执业护士的文献中很少受到关注。本项目的目的是通过回顾关于该主题的研究，确定高级执业护士能够增加对吸烟者识别和咨询的有效方法。用于综述的文章通过计算机化文献检索和相关参考文献列表的回顾获得。这些文章被分析并分为三组：全办公室范围内增加提供者对吸烟者识别和咨询的干预措施；针对提供者的戒烟培训项目；以及运用改变阶段理论的研究。提供者戒烟项目和全办公室范围的提醒增加了对吸烟患者的识别和咨询。改变阶段理论有助于解释吸烟者为戒烟必须经历的步骤。文中还提出了适用于戒烟过程不同阶段的干预措施。
