当前初级孕产妇保健中的戒烟与尼古丁替代疗法
Smoking cessation and nicotine replacement therapy in current primary maternity care.
作者信息
Pullon Susan, Webster Melanie, McLeod Deborah, Benn Cheryl, Morgan Sonya
机构信息
Wellington School of Medicine and Health Sciences, University of Otago, New Zealand.
出版信息
Aust Fam Physician. 2004 Jan-Feb;33(1-2):94-6.
AIM
To determine attitudes, activity and confidence among general practitioners and midwives about smoking cessation practice, and use of nicotine replacement therapy (NRT) during pregnancy and breastfeeding.
METHOD
A postal survey of 780 New Zealand health professionals providing maternity care.
RESULTS
274 GPs (82 practising obstetrics) and 184 midwives responded (RR: 64%), with most (88% GPs, 77% midwives) regarding providing smoking cessation advice integral to their job. Only about half gave smoking cessation advice to most pregnant women who smoked. They were uncertain about the safety of NRT use in pregnant and breastfeeding women. Most respondents requested more information about NRT use.
DISCUSSION
Smoking cessation practice falls short of respondents' beliefs about good practice and current recommendations.
目的
确定全科医生和助产士对戒烟实践以及孕期和哺乳期使用尼古丁替代疗法（NRT）的态度、行为和信心。
方法
对780名提供孕产妇护理的新西兰卫生专业人员进行邮寄调查。
结果
274名全科医生（82名从事产科工作）和184名助产士回复（回复率：64%），大多数（88%的全科医生，77%的助产士）认为提供戒烟建议是其工作不可或缺的一部分。只有约一半的人会向大多数吸烟的孕妇提供戒烟建议。他们对孕妇和哺乳期妇女使用NRT的安全性不确定。大多数受访者要求获得更多关于使用NRT的信息。
讨论
戒烟实践未达到受访者对良好实践的信念和当前建议的要求。
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