Rapp Kilian, Büchele Gisela, Jähnke Anke G, Weiland Stephan K
Department of Epidemiology, University of Ulm, Germany.
Prev Med. 2006 Jun;42(6):443-8. doi: 10.1016/j.ypmed.2006.03.006. Epub 2006 Apr 19.
To evaluate the effect of a specific intervention on smoking cessation in health professionals.
Between 2003 and 2004, a cluster-randomized trial was performed in 32 schools of nursing with 956 student nurses in Southwest Germany. Students in the intervention group received three teaching units each lasting 1 day on how to give advice to people who want to stop smoking. The program addressed only nurses' professional role and not their individual smoking behavior. After a follow-up of 13 months, the change in smoking status was determined. Secondary endpoints included changes of smoking-related factors like stages of smoking or knowledge about health risks.
Change of smoking status in the desired direction (stopping smoking or not starting smoking) occurred less often in the intervention than in the control group, but the difference did not reach statistical significance (odds ratio 0.69, 95% confidential interval: 0.43, 1.10). The program was successful in delivering medical knowledge (P=0.0056) and in enhancing competence in giving advice to smokers (P<0.0001).
The applied approach is able to improve student nurses' medical knowledge and to augment their competence in giving advice to smokers, but it is not an effective strategy to reduce their own smoking behavior.
评估一项特定干预措施对卫生专业人员戒烟的效果。
2003年至2004年期间，在德国西南部的32所护理学校对956名学生护士进行了一项整群随机试验。干预组的学生接受了三个为期1天的教学单元，内容是关于如何向想要戒烟的人提供建议。该项目仅涉及护士的职业角色，而非他们个人的吸烟行为。经过13个月的随访，确定吸烟状况的变化。次要终点包括吸烟相关因素的变化，如吸烟阶段或对健康风险的认识。
干预组中吸烟状况朝着期望方向（戒烟或不开始吸烟）的变化发生频率低于对照组，但差异未达到统计学意义（优势比0.69，95%置信区间：0.43，1.10）。该项目在传授医学知识方面取得了成功（P = 0.0056），并提高了向吸烟者提供建议的能力（P < 0.0001）。
所采用的方法能够提高学生护士的医学知识，并增强他们向吸烟者提供建议的能力，但不是减少他们自身吸烟行为的有效策略。
