护士戒烟干预措施的实施频率：一项全国性调查的报告

Frequency of nurses' smoking cessation interventions: report from a national survey.

作者信息

Sarna Linda, Bialous Stella A, Wells Marjorie, Kotlerman Jenny, Wewers Mary E, Froelicher Erika S

机构信息

School of Nursing, University of California, Los Angeles, CA 90095-6916, USA.

出版信息

J Clin Nurs. 2009 Jul;18(14):2066-77. doi: 10.1111/j.1365-2702.2009.02796.x.

DOI:10.1111/j.1365-2702.2009.02796.x

PMID:19638062

Abstract

AIMS AND OBJECTIVES

To describe the frequency of nurses' delivery of tobacco cessation interventions ('Five A's': Ask, Advise, Assess, Assist, Arrange) and to determine the relationship of interventions to nurses' awareness of the Tobacco Free Nurses initiative.

BACKGROUND

Tobacco cessation interventions can be effectively provided by nurses. The delivery of smoking cessation interventions by healthcare providers is mandated by several organisations in the USA and around the world. Lack of education and resources about tobacco cessation may contribute to the minimal level of interventions. The Tobacco Free Nurses initiative was developed to provide nurses with easy access to web-based resources about tobacco control.

DESIGN

Cross-sectional survey of nurses (n = 3482) working in 35 Magnet-designated hospitals in the USA (21% response rate).

METHOD

A valid and reliable questionnaire used in previous studies to assess the frequency of the nurse's delivery of smoking cessation interventions ('Five A's') was adapted for use on the web.

RESULTS

The majority of nurses asked (73%) and assisted (73%) with cessation. However, only 24% recommended pharmacotherapy. Only 22% referred to community resources and only 10% recommended use of the quitline. Nurses familiar with TFN (15%) were significantly more likely to report delivery of all aspects of interventions, including assisting with cessation (OR = 1.55, 95% CI 1.27, 1.90) and recommending medications (OR = 1.81, 95% CI 1.45, 2.24).

CONCLUSIONS

Nurses' delivery of comprehensive smoking cessation interventions was suboptimal. Awareness of Tobacco Free Nurses was associated with increased interventions. Relevance to clinical practice. Further efforts are needed to ensure that nurses incorporate evidence-based interventions into clinical practice to help smokers quit. These findings support the value of Tobacco Free Nurses in providing nurses with information to support patients' quit attempts.

摘要

目的与目标

描述护士提供戒烟干预措施（“五个A”：询问、建议、评估、协助、安排）的频率，并确定这些干预措施与护士对“无烟护士”倡议的认知之间的关系。

背景

护士能够有效地提供戒烟干预措施。美国及全球的多个组织都要求医疗服务提供者提供戒烟干预措施。缺乏关于戒烟的教育和资源可能导致干预措施的实施水平较低。“无烟护士”倡议旨在为护士提供便捷的网络烟草控制资源。

设计

对美国35家磁铁认证医院的护士（n = 3482）进行横断面调查（回复率为21%）。

方法

对先前研究中用于评估护士提供戒烟干预措施（“五个A”）频率的有效且可靠的问卷进行改编，以用于网络调查。

结果

大多数护士进行了询问（73%）和协助（73%）戒烟。然而，只有24%的护士推荐药物治疗。只有22%的护士提及社区资源，只有10%的护士推荐使用戒烟热线。熟悉“无烟护士”倡议的护士（15%）更有可能报告实施了干预措施的各个方面，包括协助戒烟（比值比 = 1.55，95%置信区间1.27，1.90）和推荐药物（比值比 = 1.81，95%置信区间1.45，2.24）。