Liu Kathy, Creamer Andrew
South London and Maudsley NHS Foundation Trust, UK.
BMJ Qual Improv Rep. 2015 Feb 26;4(1). doi: 10.1136/bmjquality.u207323.w2933. eCollection 2015.
Smoking rates are higher among people with mental health conditions compared to the general population. Smoking reduces physical, mental and financial well-being, and interacts with psychotropic drugs. An inpatient admission provides an opportunity to engage and support smokers in smoking cessation. Compliance with Trust/NICE smoking cessation guidelines was assessed in two inpatient wards, and a questionnaire evaluated user demand for an inpatient smoking cessation service. A need for improved documentation of smoking status to identify and treat smokers routinely was revealed. A new electronic health form was designed and introduced, and a clear pathway for onward referrals was developed. This intervention preceded the introduction of the Trust-wide smoke free policy from October 2014. The intervention doubled rates of documentation of smoking status, cessation advice and offer of NRT/referral. There were large differences between the two wards, highlighting the need for a tailored approach.
与普通人群相比，患有心理健康问题的人群吸烟率更高。吸烟会降低身体、心理和经济幸福感，并与精神药物相互作用。住院治疗为促使吸烟者戒烟并提供支持提供了契机。在两个住院病房评估了对信托机构/英国国家卫生与临床优化研究所（NICE）戒烟指南的遵守情况，并通过问卷调查评估了用户对住院戒烟服务的需求。结果显示需要改进吸烟状况记录，以便常规识别和治疗吸烟者。设计并引入了一种新的电子健康表格，并制定了明确的转诊途径。这项干预措施在2014年10月信托机构全面实施无烟政策之前进行。该干预措施使吸烟状况记录、戒烟建议以及提供尼古丁替代疗法/转诊的比例翻了一番。两个病房之间存在很大差异，凸显了采取针对性方法的必要性。
