The Centre for Nursing and Health Behaviour Research and NEXUS, School of Nursing, University of British Columbia, Vancouver, BC, Canada.
Patient Educ Couns. 2009 Nov;77(2):289-95. doi: 10.1016/j.pec.2009.02.013. Epub 2009 Apr 23.
This study aimed to describe mental healthcare providers' attitudes about tobacco use, their personal smoking status, their confidence in offering smoking cessation support to clients living with severe mental illness, and the extent to which they incorporated smoking cessation interventions into their practice. The study also aimed to determine whether the providers' attitudes, smoking status, and confidence were associated with offering smoking cessation support to clients.
Self-administered questionnaires were distributed within community-based mental health agencies to those who provide care and support to adults living with severe mental illness. Outcomes measured included respondents' smoking status, attitudes related to the provision of smoking cessation support, confidence in providing smoking cessation intervention, and smoking cessation practices. We conducted multivariate analyses using logistic regression analyses to examine the factors associated with the providers' tobacco-related practices.
In total 282 of 871 care providers responded to the survey, 22% of whom were current smokers. The providers who held sympathetic attitudes about their role and their clients' role in smoking cessation, who were never or former smokers, who were healthcare professionals rather than paraprofessionals, who had relatively more confidence, and who had more experience working in the mental health field were more likely to engage their clients in tobacco-related interventions.
In this study the healthcare providers working in community-based mental health have a smoking prevalence rate that exceeds that of the region's general population and did not provide optimal smoking cessation support to their clients.
Interventions that bolster the confidence of providers to engage is smoking cessation activities and that support a shift in attitudes about the role of tobacco use in mental health are required.
本研究旨在描述精神卫生保健提供者对烟草使用的态度、他们的个人吸烟状况、他们为患有严重精神疾病的客户提供戒烟支持的信心，以及他们在实践中纳入戒烟干预措施的程度。该研究还旨在确定提供者的态度、吸烟状况和信心是否与为客户提供戒烟支持有关。
在社区为基础的精神卫生机构内向为患有严重精神疾病的成年人提供护理和支持的人员分发了自我管理问卷。测量的结果包括受访者的吸烟状况、与提供戒烟支持相关的态度、提供戒烟干预的信心以及戒烟实践。我们使用逻辑回归分析进行了多变量分析，以检查与提供者烟草相关实践相关的因素。
在总共 871 名护理提供者中，有 282 名回应了调查，其中 22%的人是当前吸烟者。对自己的角色和客户在戒烟中的角色持同情态度、从不或曾经吸烟、是医疗保健专业人员而不是非专业人员、相对更有信心、在精神卫生领域工作经验更丰富的提供者更有可能使他们的客户参与与烟草有关的干预措施。
在这项研究中，在社区为基础的精神卫生机构工作的医疗保健提供者的吸烟率超过了该地区的一般人群，并且没有为他们的客户提供最佳的戒烟支持。
需要采取干预措施来增强提供者参与戒烟活动的信心，并支持改变关于烟草使用在精神健康中的作用的态度。
