烟草策略项目对住院精神科退伍军人的有效性：一项实施研究。
Effectiveness of the tobacco tactics program for psychiatric inpatient veterans: an implementation study.
作者信息
Duffy Sonia A, Noonan Devon, Karvonen-Gutierrez Carrie A, Ronis David L, Ewing Lee A, Waltje Andrea H, Dalack Gregory W, Smith Patricia M, Carmody Timothy P, Hicks Thomas, Hermann Christopher
机构信息
Ann Arbor VA Center for Clinical Management Research, Health Services Research and Development, Ann Arbor, MI; Ohio State University, College of Nursing; University of Michigan, Department of Psychiatry, Ann Arbor, MI.
Duke University School of Nursing, Durham, NC.
出版信息
Arch Psychiatr Nurs. 2015 Apr;29(2):120-6. doi: 10.1016/j.apnu.2014.12.002. Epub 2014 Dec 24.
BACKGROUND
The objective of this study was to evaluate the effectiveness of the inpatient, nurse-administered Tobacco Tactics program for patients admitted for psychiatric conditions in two Veterans Affairs (VA) hospitals compared to a control hospital.
METHODS
This is a subgroup analysis of data from the inpatient tobacco tactics effectiveness trial, which was a longitudinal, pre- post-nonrandomized comparison design with 6-month follow-up in the three large Veterans Integrated Service Networks (VISN) 11 hospitals.
RESULTS
Six-month self-reported quit rates for patients admitted for psychiatric conditions increased from 3.5% pre-intervention to 10.2% post-intervention compared to a decrease in self-reported quit rates in the control hospital (12% pre-intervention to 1.6% post-intervention). There was significant improvement in self-reported quit rates for the pre- versus post-intervention time periods in the Detroit and Ann Arbor intervention sites compared to the Indianapolis control site (P=0.01) and cotinine results were in the same direction.
CONCLUSION
The implementation of the Tobacco Tactics intervention has the potential to significantly decrease smoking and smoking-related morbidity and mortality among smokers admitted to VA hospitals for psychiatric disorders.
背景
本研究的目的是评估在两家退伍军人事务（VA）医院中，由护士管理的针对因精神疾病入院患者的住院烟草策略项目的有效性，并与一家对照医院进行比较。
方法
这是对住院烟草策略有效性试验数据的亚组分析，该试验采用纵向、非随机前后比较设计，在三个大型退伍军人综合服务网络（VISN）11的医院中进行了6个月的随访。
结果
因精神疾病入院患者的6个月自我报告戒烟率从干预前的3.5%提高到干预后的10.2%，而对照医院的自我报告戒烟率则下降（从干预前的12%降至干预后的1.6%）。与印第安纳波利斯对照站点相比，底特律和安阿伯干预站点在干预前后时间段的自我报告戒烟率有显著改善（P = 0.01），且可替宁结果方向相同。
结论
烟草策略干预的实施有可能显著降低因精神疾病入住VA医院的吸烟者的吸烟率以及与吸烟相关的发病率和死亡率。
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