Stockings Emily A, Bowman Jenny A, Bartlem Kate M, McElwaine Kathleen M, Baker Amanda L, Terry Margarett, Clancy Richard, Knight Jenny, Wye Paula M, Colyvas Kim, Wiggers John H
University of Newcastle, University Drive, Callaghan, New South Wales (NSW), 2308, Australia.
Hunter Medical Research Institute (HMRI), Level 3 John Hunter Hospital, 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.
Int J Ment Health Nurs. 2015 Aug;24(4):342-9. doi: 10.1111/inm.12128. Epub 2015 May 13.
The implementation of smoke-free policies in inpatient psychiatric facilities, including patient adherence, mental health nursing staff support, and provision of nicotine-dependence treatment to patients, has been reported to be poor. The extent to which the quality of smoke-free policy implementation is associated with patient views of a policy is unknown. We conducted a cross-sectional survey of 181 patients (53.6%, n = 97 smokers; and 46.4%, n = 84 non-smokers) in an Australian inpatient psychiatric facility with a total smoke-free policy. Smokers' adherence to the policy was poor (83.5% smoked). Only half (53.6%) perceived staff to be supportive of the policy. Most smokers used nicotine-replacement therapy (75.3%); although few received optimal nicotine-dependence treatment (19.6%). Overall, 45.9% of patients viewed the smoke-free policy in the unit as positive (29.9% smokers; 64.3% non-smokers). For smokers, adhering to the ban, perceiving staff to be supportive, and reporting that the nicotine-replacement therapy reduced cravings to smoke were associated with a more positive view towards the smoke-free policy. These findings support the importance of patient adherence, mental health nursing staff support, and adequate provision of nicotine-dependence treatment in strengthening smoke-free policy implementation in inpatient psychiatric settings.
据报道，住院精神科机构无烟政策的实施情况不佳，包括患者的依从性、精神科护理人员的支持以及为患者提供尼古丁依赖治疗。无烟政策实施质量与患者对该政策看法之间的关联程度尚不清楚。我们对澳大利亚一家实行全面无烟政策的住院精神科机构的181名患者（53.6%，n = 97名吸烟者；46.4%，n = 84名非吸烟者）进行了横断面调查。吸烟者对该政策的依从性较差（83.5%的人吸烟）。只有一半（53.6%）的人认为工作人员支持该政策。大多数吸烟者使用尼古丁替代疗法（75.3%）；尽管很少有人接受最佳的尼古丁依赖治疗（19.6%）。总体而言，45.9%的患者认为该科室的无烟政策是积极的（吸烟者占29.9%；非吸烟者占64.3%）。对于吸烟者来说，遵守禁令、认为工作人员支持以及报告尼古丁替代疗法减少了吸烟欲望与对无烟政策更积极的看法相关。这些发现支持了患者依从性、精神科护理人员支持以及充分提供尼古丁依赖治疗在加强住院精神科环境中无烟政策实施方面的重要性。
