Vega Stephen, Stolare Iwona
Hutt Valley District Health Board, Private Bag 31-907, Lower Hutt 5040, New Zealand.
N Z Med J. 2010 Jun 25;123(1317):35-40.
To review the impact of educational and other measures on smoking cessation interventions delivered in a New Zealand hospital setting.
The usage of nicotine replacement therapy (NRT) for inpatients was assessed by data gathered from the hospital pharmacy for a period before and after these educational measures.
Quarterly teaching sessions for house surgeons, monthly Effective Brief Intervention sessions for clinical staff and quarterly respiratory nurse training were delivered based on The New Zealand Guidelines for Smoking Cessation. In addition the Hutt Valley District Health Board (HVDHB) Smokefree Policy was revised from a business model to a treatment model. Over the 18 months after the educational initiatives were commenced the numbers of NRT units used in Hutt Hospital rose from a baseline of 768 to 3712--a fourfold increase.
The increase in NRT usage could be attributed to educative measures put in place. There is an opportunity for similar smoking cessation interventions to exist New Zealand wide; this could have a significant impact on reducing chronic disease.
回顾教育及其他措施对新西兰医院环境中戒烟干预措施的影响。
通过医院药房收集的教育措施实施前后一段时间内的数据,评估住院患者使用尼古丁替代疗法(NRT)的情况。
根据《新西兰戒烟指南》,为住院医生开展季度教学课程,为临床工作人员开展每月一次的有效简短干预课程,并为呼吸科护士开展季度培训。此外,哈特谷地区卫生委员会(HVDHB)的无烟政策从商业模式修订为治疗模式。在教育举措开始后的18个月里,哈特医院使用的NRT单位数量从基线的768个增加到3712个,增长了四倍。
NRT使用量的增加可归因于所采取的教育措施。在新西兰全国范围内存在开展类似戒烟干预措施的机会;这可能对减少慢性病产生重大影响。