Merrill Ray M, Gagon Heather, Harmon Tanner, Milovic Ivan
Department of Health Science, College of Life Sciences, Brigham Young University, Provo, Utah 84602, USA.
J Contin Educ Nurs. 2010 Feb;41(2):89-96. doi: 10.3928/00220124-20100126-05.
This study assessed smoking prevalence, attitudes, and perceived patient counseling responsibilities among practicing nurses in Serbia. The need for nurses to receive tobacco cessation training is explored.
Data were collected through a cross-sectional survey of 230 nurses at public institutions in Belgrade, a health care center in Belgrade, and public health care facilities throughout Serbia.
The smoking prevalence was 52% for male nurses and 47% for female nurses. Nurses had the greatest mean level of agreement with statements about controlling smoking through policy, followed by statements about being role models. Only 15% (n = 35) of nurses regularly counseled their patients about smoking, and only 16% of nurses (45% of males vs. 12% of females, p < .0001) had received training in counseling patients about smoking. Nurses' training in counseling patients about smoking was positively associated with the nurses' belief that their counseling could help patients stop smoking or never start smoking. In addition, nurses with training in counseling patients about smoking considered themselves significantly better prepared to assist patients to quit smoking. Nurses who smoked were significantly less likely to believe that their counseling about smoking could be effective. They also felt significantly less well prepared to assist patients to quit smoking.
These findings show that nurses' training in tobacco cessation counseling results in greater self-perceived confidence and frequency of regular tobacco cessation counseling in Serbia.
本研究评估了塞尔维亚执业护士的吸烟率、态度以及对患者咨询责任的认知。探讨了护士接受戒烟培训的必要性。
通过对贝尔格莱德公立机构、贝尔格莱德一家医疗保健中心以及塞尔维亚各地公共卫生保健机构的230名护士进行横断面调查收集数据。
男护士吸烟率为52%,女护士为47%。护士对关于通过政策控制吸烟的陈述的平均认同度最高,其次是关于成为榜样的陈述。只有15%(n = 35)的护士定期就吸烟问题向患者提供咨询,只有16%的护士(男性为45%,女性为12%,p <.0001)接受过关于向患者提供吸烟咨询的培训。护士在向患者提供吸烟咨询方面的培训与护士认为其咨询有助于患者戒烟或永不开始吸烟的信念呈正相关。此外,接受过向患者提供吸烟咨询培训的护士认为自己在协助患者戒烟方面准备得明显更好。吸烟的护士明显不太可能相信他们关于吸烟的咨询会有效。他们也明显感觉在协助患者戒烟方面准备不足。
这些发现表明,在塞尔维亚,护士接受戒烟咨询培训可提高自我认知的信心以及定期进行戒烟咨询的频率。