University of Newcastle, Callaghan, NSW, Australia.
Nicotine Tob Res. 2013 May;15(5):942-9. doi: 10.1093/ntr/nts206. Epub 2012 Oct 22.
Mental health inpatients smoke at higher rates than general population smokers. However, provision of nicotine-dependence treatment in inpatient settings is low, with barriers to the provision of such care including staff views that patients do not want to quit. This paper reports the findings of a survey of mental health inpatients at a psychiatric hospital in New South Wales, Australia, assessing smoking and quitting motivations and behaviors.
Smokers (n = 97) were surveyed within the inpatient setting using a structured survey tool, incorporating the Fagerström Test for Nicotine Dependence, Reasons for Quitting Scale, Readiness and Motivation to Quit Smoking Questionnaire, and other measures of smoking and quitting behavior.
Approximately 47% of smokers reported having made at least one quit attempt within the past 12 months, despite nearly three quarters (71.2%) being classified as in a "precontemplative" stage of change. Multinomial logistic regressions revealed that self-reporting "not enjoying being a smoker" and having made a quit attempt in the last 12 months predicted having advanced beyond a precontemplative stage of change. A high self-reported desire to quit predicted a quit attempt having been made in the last 12 months.
The majority of smokers had made several quit attempts, with a large percentage occurring recently, suggesting that the actual quitting behavior should be considered as an important indication of the "desire to quit." This paper provides further data supporting the assertion that multimodal smoking cessation interventions combining psychosocial and pharmacological support should be provided to psychiatric inpatients who smoke.
精神科住院患者的吸烟率高于一般人群吸烟者。然而，在住院环境中提供尼古丁依赖治疗的比例很低，提供此类护理的障碍包括工作人员认为患者不想戒烟。本文报告了对澳大利亚新南威尔士州一家精神病院精神科住院患者的吸烟和戒烟动机及行为进行调查的结果。
在住院环境中，使用结构化调查工具对吸烟者（n=97）进行调查，该工具包括尼古丁依赖 Fagerström 测试、戒烟原因量表、戒烟准备和动机问卷以及其他吸烟和戒烟行为的测量方法。
尽管近四分之三（71.2%）的患者被归类为处于“未考虑改变”阶段，但约 47%的吸烟者报告在过去 12 个月内至少尝试过一次戒烟。多项逻辑回归显示，自我报告“不喜欢吸烟”和在过去 12 个月内尝试过戒烟预测已经超越了未考虑改变的阶段。高度的自我报告戒烟愿望预测在过去 12 个月内尝试过戒烟。
大多数吸烟者已经多次尝试戒烟，其中很大一部分是在最近发生的，这表明实际的戒烟行为应该被视为“戒烟愿望”的重要指标。本文提供了进一步的数据支持，即应该为吸烟的精神科住院患者提供结合心理社会和药物支持的多模式戒烟干预措施。
