Mujika Agurtzane, Forbes Angus, Canga Navidad, de Irala Jokin, Serrano Inmaculada, Gascó Plácido, Edwards Margaret
School of Nursing, University of Navarra, Spain.
Florence Nightingale School of Nursing and Midwifery, King's College London, UK.
Int J Nurs Stud. 2014 Aug;51(8):1074-82. doi: 10.1016/j.ijnurstu.2013.12.001. Epub 2013 Dec 15.
Despite the important role that health professionals have in reducing tobacco use, many have a smoking habit themselves. The prevalence of smoking is particularly high among nurses.
To test the efficacy, acceptability and feasibility of a motivational interviewing (MI) based smoking cessation intervention with nurses.
Two group parallel experimental design with random allocation to groups.
A large teaching hospital in the North of Spain.
Nurses who smoked (n=30) were randomised into two groups: motivational interviewing based intervention (n=15) and usual care (n=15).
Motivational interviewing based intervention consisted of four individual MI sessions. Usual care consisted of brief advice. Variables considered to assess efficacy were biochemically verified smoking cessation, mean cigarettes smoked, stages of change, self-efficacy and depression score. Variables to assess acceptability and feasibility included participant satisfaction, adherence to MI, and duration of sessions. Data were collected at: baseline, end of intervention and three months after the end of the intervention.
At three month follow up, compared with the control group, more nurses in the intervention group had quit (absolute difference 33.3%; 95% confidence interval [CI] 2.6-58.2). In the nurses who did not quit, there was no significant difference between the intervention and control groups in the number of cigarettes smoked per day, although progress in the stages of change was greater in the intervention group compared to the control group. Measures of acceptability and feasibility indicated good satisfaction with the intervention, with high levels of attendance and completion.
This study found a beneficial effect of motivational interviewing on nurses' smoking cessation. The intervention was acceptable for nurses and a number of aspects were identified that need to be considered prior to conducting a larger scale in order to optimise the intervention. Using MI might be a novel approach to the problem of health professionals who smoke.
尽管卫生专业人员在减少烟草使用方面发挥着重要作用，但许多人自己却有吸烟习惯。护士中的吸烟率尤其高。
测试基于动机性访谈（MI）的戒烟干预措施对护士的疗效、可接受性和可行性。
两组平行实验设计，随机分组。
西班牙北部的一家大型教学医院。
吸烟的护士（n = 30）被随机分为两组：基于动机性访谈的干预组（n = 15）和常规护理组（n = 15）。
基于动机性访谈的干预包括四次个体MI疗程。常规护理包括简短建议。用于评估疗效的变量包括经生化验证的戒烟情况、平均吸烟量、改变阶段、自我效能感和抑郁评分。用于评估可接受性和可行性的变量包括参与者满意度、对MI的依从性和疗程时长。在基线、干预结束时和干预结束后三个月收集数据。
在三个月的随访中，与对照组相比，干预组中有更多护士戒烟（绝对差异33.3%；95%置信区间[CI] 2.6 - 58.2）。在未戒烟的护士中，干预组和对照组每天吸烟量没有显著差异，尽管干预组在改变阶段的进展比对照组更大。可接受性和可行性指标表明对干预的满意度良好，出勤率和完成率都很高。
本研究发现动机性访谈对护士戒烟有有益效果。该干预措施对护士是可接受的，并且确定了在进行更大规模研究之前需要考虑的一些方面，以优化干预措施。使用MI可能是解决吸烟的卫生专业人员问题的一种新方法。
