Duffy Sonia A, Reeves Pamela, Hermann Christopher, Karvonen Carrie, Smith Patricia
VA HSR&D Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI 48113-0170, USA.
Appl Nurs Res. 2008 Nov;21(4):199-206. doi: 10.1016/j.apnr.2006.11.002.
In preparation for delivering an inpatient smoking cessation intervention, surveys and interviews of general inpatients and staff were conducted in two Veterans Affairs (VA) hospitals to determine the motivation of veterans to quit smoking and to identify facilitators and barriers to inpatient staff delivery of inpatient cessation services. Seventy percent of inpatients were "motivated smokers" (thinking of quitting in the next 30 days), yet only 17% stated that they received cessation services during their hospitalization. Most staff said that VA should do more to assist patients to quit, yet less than half said that they personally provided cessation services due to lack of confidence/training and hesitancy to upset patients. Given the high motivation to quit among hospitalized veterans and the lack of knowledge about providing cessation services among nurses, training health professionals may facilitate and overcome barriers to the provision of these services. As frontline providers, nurses are ideally positioned to deliver inpatient smoking cessation services to hospitalized veterans.
为准备开展一项住院患者戒烟干预措施，在两家退伍军人事务（VA）医院对普通住院患者和工作人员进行了调查与访谈，以确定退伍军人戒烟的动机，并找出住院部工作人员提供戒烟服务的促进因素和障碍。70%的住院患者是“有戒烟意愿的吸烟者”（打算在未来30天内戒烟），但只有17%的患者表示他们在住院期间接受了戒烟服务。大多数工作人员表示，退伍军人事务部应该加大力度帮助患者戒烟，但不到一半的人表示，由于缺乏信心/培训以及担心惹恼患者，他们个人并未提供戒烟服务。鉴于住院退伍军人有很高的戒烟意愿，而护士对提供戒烟服务缺乏了解，培训卫生专业人员可能会促进并克服提供这些服务的障碍。作为一线提供者，护士最适合为住院退伍军人提供住院患者戒烟服务。
