急性内科患者的吸烟状况评估和干预。
Smoking status ascertainment and interventions in acute medical patients.
机构信息
Division of Epidemiology and Public Health and UK Centre for Tobacco Control Studies, University of Nottingham, Clinical Sciences Building, Nottingham City Hospital.
出版信息
Clin Med (Lond). 2012 Feb;12(1):59-62. doi: 10.7861/clinmedicine.12-1-59.
Hospital admission provides an opportunity to promote smoking cessation. Clinical guidelines recommend ascertainment of smoking status and delivery of cessation interventions in all consultations. In this article, smoking ascertainment and intervention among all patients admitted to medical wards in a UK hospital over a four-week period in 2010 were audited. Medical records of 767 patients were screened; 96 (13%) were current smokers, 243 (32%) ex-smokers and 233 (30%) non-smokers. There was no record of smoking status in 243 (25%) individuals and this proportion varied between specialties. Of the 96 current smokers, only 23 received documented cessation advice or pharmacological support. Four weeks after discharge, 31% reported that they were abstinent from smoking, representing 50% of those who received support and 20% of those who did not. Ascertainment of smoking status and delivery of cessation support to patients admitted to medical wards was low, suggesting that there is room for improvement in the management of smoking among inpatients.
住院为促进戒烟提供了机会。临床指南建议在所有咨询中确定吸烟状况并提供戒烟干预。本文对英国一家医院 2010 年四个星期内所有内科病房住院患者的吸烟情况进行了调查。共筛查了 767 名患者的病历，其中 96 名（13%）为当前吸烟者，243 名（32%）为戒烟者，233 名（30%）为不吸烟者。有 243 名（25%）患者的吸烟状况记录缺失，且这一比例在不同科室之间存在差异。96 名当前吸烟者中，仅有 23 人接受了戒烟建议或药物治疗。出院四周后，有 31%的人报告已经戒烟，其中接受支持的患者中有 50%，未接受支持的患者中有 20%。内科病房住院患者的吸烟状况确定和戒烟支持提供率较低，表明在住院患者的吸烟管理方面仍有改进的空间。
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