Zwar Nicholas A, Mendelsohn Colin P, Richmond Robyn L
MBBS, MPH, PhD, FRACGP, is Professor of General Practice, School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales.
Aust Fam Physician. 2014 Jun;43(6):348-54.
Although great progress has been made on tobacco control, smoking remains one of the most important causes of preventable disease and death in the Australian population. The general practice team has much to offer in helping smokers to quit.
This article provides practical advice on structuring smoking cessation support in primary care using the 5As (Ask, Assess, Advise, Assist and Arrange follow-up) framework. Up-to-date information on pharmacotherapy and issues for special groups are also covered.
The chances of successful quitting are maximised if the patient receives behavioural support combined with drug treatment, if nicotine-dependent. Special groups needing support include Aboriginal and Torres Strait Islander peoples, people with mental illness and pregnant women.
尽管在烟草控制方面已取得巨大进展，但吸烟仍是澳大利亚人群中可预防疾病和死亡的最重要原因之一。全科医疗团队在帮助吸烟者戒烟方面能发挥很大作用。
本文就使用5A（询问、评估、建议、协助和安排随访）框架在初级保健中构建戒烟支持提供实用建议。还涵盖了药物治疗的最新信息以及特殊群体的相关问题。
如果患者接受行为支持并结合药物治疗（如果有尼古丁依赖），成功戒烟的机会将最大化。需要支持的特殊群体包括原住民和托雷斯海峡岛民、患有精神疾病的人群以及孕妇。
