McLeod Deborah, Cornford Elizabeth, Pullon Susan, de Silva Kawshi, Simpson Corrianne
Department of General Practice, Wellington School of Medicine and Health Sciences, Wellington South, New Zealand.
N Z Med J. 2005 Apr 15;118(1213):U1415.
To develop, implement, and evaluate a programme of training and support for smoking cessation provision in general practice.
The Can Quit Practice Programme was developed for delivery in general practices with a particular focus on the skills of the practice nurse (PN) in providing quit support. The Programme utilises the principles of brief intervention by the GP or PN followed by a systematic quit support programme delivered by trained practice nurses (quit advisors). Alternative implementation strategies and the provision of ongoing support and problem solving sessions were integral parts of the Programme. The evaluation used qualitative and quantitative methods to establish quit rates for participants enrolled in the Programme and explore the efficacy of programme delivery.
The quit rates achieved by 85 smokers (from 14 general practices) enrolled in the Can Quit Practice Programme evaluation were; 25.9% at 3 months; 22.4% at 6 months; and 20.0% at 9 months. Important components of successful implementation were: an autonomous role for PNs; well-managed practice procedures; adequate consultation time; and adequate funding for health promotion.
Smoking cessation programmes can be successfully implemented and maintained within general practices as an integrated part of primary healthcare.
制定、实施并评估一项针对全科医疗中戒烟服务的培训与支持计划。
“能戒烟实践计划”专为在全科医疗中实施而制定，特别关注执业护士（PN）提供戒烟支持的技能。该计划采用全科医生或执业护士简短干预的原则，随后由经过培训的执业护士（戒烟顾问）提供系统的戒烟支持计划。替代实施策略以及提供持续支持和问题解决环节是该计划的组成部分。评估采用定性和定量方法来确定参与该计划的参与者的戒烟率，并探讨计划实施的效果。
参与“能戒烟实践计划”评估的85名吸烟者（来自14家全科医疗诊所）的戒烟率如下：3个月时为25.9%；6个月时为22.4%；9个月时为20.0%。成功实施的重要因素包括：执业护士的自主角色；管理良好的实践程序；充足的咨询时间；以及充足的健康促进资金。
戒烟计划可作为初级医疗保健的一个组成部分在全科医疗中成功实施并维持。
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