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戒烟意愿:你的患者准备好戒烟了吗?

Smoking cessation readiness: are your patients ready to quit?

作者信息

Woody Delinda, DeCristofaro Claire, Carlton Betty G

机构信息

North Carolina Department of Corrections, Spruce Pine, North Carolina, USA.

出版信息

J Am Acad Nurse Pract. 2008 Aug;20(8):407-14. doi: 10.1111/j.1745-7599.2008.00344.x.

Abstract

PURPOSE

To explore the assessment of patient readiness to receive smoking cessation interventions using the transtheoretical model (TTM) and the five stages of change; and to give the primary care provider an evidence-based toolkit to assist in evaluating for readiness and supporting the smoking cessation process.

DATA SOURCES

Evidence-based literature, theoretical framework, and peer-reviewed articles.

CONCLUSIONS

Utilizing the TTM along with proper training and education of the provider and patient increases the probability that smoking cessation will occur. Combinations of pharmaceutical and nonpharmaceutical interventions are the most effective in smoking cessation.

IMPLICATIONS FOR PRACTICE

Providers can be prepared at every patient visit to address the smoking cessation needs of all patients. The toolkit provided in this article will help facilitate evaluation of readiness and support of effective, long-term smoking cessation and reduce eventual smoking-related morbidities.

摘要

目的

探讨使用跨理论模型(TTM)和行为改变的五个阶段来评估患者接受戒烟干预措施的准备情况;并为初级保健提供者提供一个循证工具包,以协助评估准备情况并支持戒烟过程。

数据来源

循证文献、理论框架和同行评审文章。

结论

将TTM与对提供者和患者的适当培训及教育相结合,可提高戒烟发生的可能性。药物和非药物干预措施相结合在戒烟方面最为有效。

对实践的启示

每次接诊患者时,提供者都可为满足所有患者的戒烟需求做好准备。本文提供的工具包将有助于促进对准备情况的评估以及对有效长期戒烟的支持,并减少最终与吸烟相关的发病率。

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