Freund Megan, Campbell Elizabeth, Paul Christine, Sakrouge Rebecca, Wiggers John
Hunter Centre for Health Advancement (HCHA), Hunter Area Health Service, New South Wales Health Department, Locked Bag 10, Wallsend, NSW 2287, Australia.
Prev Med. 2005 Jul;41(1):151-8. doi: 10.1016/j.ypmed.2004.09.044. Epub 2004 Dec 10.
The study aimed to (1) determine the current routine smoking care that smoke-free public hospitals in New South Wales (NSW), Australia, provide to inpatients who are smokers; (2) determine current strategies supporting such care; and (3) examine the association between smoking care provision and hospital characteristics and support strategies.
A cross-sectional survey of 169 senior hospital managers was undertaken. Survey items included smoking care practices such as identification of smoking status and provision of nicotine replacement therapy as well as hospital activities such as existence of policies and staff training. Hospital characteristics such as size and geographic location were also collected.
Twenty percent of respondents reported provision of minimally 'adequate' smoking care, defined as providing five or more smoking care items to 80% or more of patients. Larger hospitals were significantly less likely to provide adequate smoking care. Nurse training, the existence of signs indicating a smoke-free site and signs indicating location of designated smoking areas were also associated with smoking care provision. The existence of three or more support strategies was associated with smoking care provision.
Even in the context of a smoke-free hospital site, the majority of inpatients who are smokers receive inadequate smoking care. Considered investment is required for hospitals to implement strategies to institutionalise the routine provision of appropriate smoking care.
本研究旨在（1）确定澳大利亚新南威尔士州（NSW）无烟公立医院为吸烟住院患者提供的当前常规吸烟护理；（2）确定支持此类护理的当前策略；（3）研究吸烟护理提供与医院特征及支持策略之间的关联。
对169名医院高级管理人员进行了横断面调查。调查项目包括吸烟护理实践，如吸烟状况识别和尼古丁替代疗法的提供，以及医院活动，如政策的存在和员工培训。还收集了医院特征，如规模和地理位置。
20%的受访者报告提供了最低限度的“充分”吸烟护理，定义为向80%或更多患者提供五项或更多吸烟护理项目。较大的医院提供充分吸烟护理的可能性显著较低。护士培训、无烟场所标识的存在以及指定吸烟区位置标识的存在也与吸烟护理的提供有关。三种或更多支持策略的存在与吸烟护理的提供有关。
即使在无烟医院环境中，大多数吸烟住院患者仍接受不足的吸烟护理。医院需要进行深思熟虑的投资，以实施将常规提供适当吸烟护理制度化的策略。
