Ann Arbor VA Center for Clinical Management Research, 2215 Fuller Rd., Ann Arbor, MI 48105, USA.
J Gen Intern Med. 2010 Jan;25 Suppl 1(Suppl 1):3-10. doi: 10.1007/s11606-009-1075-9.
Smoking cessation services in the Department of Veterans Affairs (VA) are currently provided via outpatient groups, while inpatient cessation programs have not been widely implemented.
The objective of this paper is to describe the implementation of the Tobacco Tactics program for inpatients in the VA.
This is a pre-/post-non-randomized control study initially designed to teach inpatient staff nurses on general medical units in the Ann Arbor and Detroit VAs to deliver the Tobacco Tactics intervention using Indianapolis as a control group. Coupled with cessation medication sign-off, physicians are reminded to give patients brief advice to quit.
Approximately 96% (210/219) of inpatient nurses in the Ann Arbor, MI site and 57% (159/279) in the Detroit, MI site have been trained, with an additional 282 non-targeted personnel spontaneously attending. Nurses' self-reported administration of cessation services increased from 57% pre-training to 86% post-training (p = 0.0002). Physician advice to quit smoking ranged between 73-85% in both the pre-intervention and post-intervention period in both the experimental and control group. Volunteers made follow-up telephone calls to 85% (n = 230) of participants in the Ann Arbor site. Hospitalized smokers (N = 294) in the intervention group are reporting an increase in receiving and satisfaction with the selected cessation services following implementation of the program, particularly in regards to medications (p < 0.05).
A large proportion of inpatient nursing staff can rapidly be trained to deliver tobacco cessation interventions to inpatients resulting in increased provision of services.
退伍军人事务部（VA）的戒烟服务目前通过门诊团体提供，而住院戒烟计划尚未广泛实施。
本文旨在描述退伍军人事务部住院患者的烟草策略计划的实施情况。
这是一项初步设计为在安娜堡和底特律退伍军人事务部的普通医疗单位培训住院工作人员护士的预/后非随机对照研究，印第安纳波利斯作为对照组。结合戒烟药物签署，医生被提醒给患者提供简短的戒烟建议。
密歇根州安娜堡的 96%（210/219）和密歇根州底特律的 57%（159/279）的住院护士接受了培训，另有 282 名非目标人员自愿参加。护士自我报告的戒烟服务提供量从培训前的 57%增加到培训后的 86%（p = 0.0002）。在干预前和干预后期间，医生建议戒烟的比例在实验组和对照组均为 73-85%。志愿者对安娜堡站点的 85%（n = 230）参与者进行了随访电话呼叫。干预组住院吸烟者（N = 294）报告在实施该计划后，他们更频繁地收到并对所选戒烟服务更满意，尤其是在药物方面（p < 0.05）。
大量的住院护理人员可以迅速接受培训，为住院患者提供戒烟干预，从而增加服务的提供。
