吸烟、戒烟与戒烟支持的提供：一项针对骨科创伤患者的调查

Smoking, Quitting, and the Provision of Smoking Cessation Support: A Survey of Orthopaedic Trauma Patients.

作者信息

McCrabb Sam, Baker Amanda L, Attia John, Balogh Zsolt J, Lott Natalie, Palazzi Kerrin, Naylor Justine, Harris Ian A, Doran Christopher M, George Johnson, Wolfenden Luke, Skelton Eliza, Bonevski Billie

机构信息

*School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales, Australia; †Hunter Medical Research Institute, University of Newcastle, New Lambton, New South Wales, Australia; Departments of ‡General Medicine, and §Traumatology, John Hunter Hospital, New Lambton, New South Wales, Australia; ‖Whitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, Liverpool Hospital, Liverpool, New South Wales, Australia; ¶South Western Sydney Clinical School, Faculty of Medicine, University of New South Wales, Liverpool, New South Wales, Australia; **School of Human, Health and Social Sciences, Central Queensland University, Brisbane, Queensland, Australia; ††Centre for Medicine Use and Safety, Monash University, Parkville, Victoria, Australia; and ‡‡Hunter New England Population Health, Wallsend, New South Wales, Australia.

出版信息

J Orthop Trauma. 2017 Aug;31(8):e255-e262. doi: 10.1097/BOT.0000000000000872.

DOI:10.1097/BOT.0000000000000872

PMID:28459775

Abstract

OBJECTIVE

This study investigates orthopaedic trauma patients smoking cessation history, intentions to quit, receipt of smoking cessation care during hospital admission, and patient-related factors associated with receipt of smoking cessation care.

METHODS

An online cross-sectional survey of orthopaedic trauma patients was conducted in 2 public hospitals in New South Wales, Australia. Prevalence of smoking and associated variables were described. Logistic regressions were used to examine whether patient characteristics were associated with receipt of smoking cessation care.

RESULTS

Eight hundred nineteen patients (response rate 73%) participated. More than 1 in 5 patients (21.8%) were current smokers (n = 175). Of the current smokers, more than half (55.3%) indicated making a quit attempt in the last 12 months and the majority (77.6%) were interested in quitting. More than a third of smokers (37.4%) were not advised to quit; 44.3% did not receive any form of nicotine replacement therapy; and 24.1% reported that they did not receive any of these 3 forms of smoking cessation care during their admission. Provision of care was not related to patient characteristics.

CONCLUSIONS

The prevalence of smoking among the sample was high. Respondents were interested in quitting; however, the provision of care during admission was low. Smoking cessation interventions need to be developed to increase the provision of care and to promote quit attempts in this Australian population.

LEVEL OF EVIDENCE

Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

摘要

目的

本研究调查了骨科创伤患者的戒烟史、戒烟意愿、住院期间接受戒烟护理的情况，以及与接受戒烟护理相关的患者因素。

方法

在澳大利亚新南威尔士州的2家公立医院对骨科创伤患者进行了一项在线横断面调查。描述了吸烟率及相关变量。采用逻辑回归分析来检验患者特征是否与接受戒烟护理有关。

结果

819名患者参与调查（回复率73%）。超过五分之一的患者（21.8%）为当前吸烟者（n = 175）。在当前吸烟者中，超过一半（55.3%）表示在过去12个月内曾尝试戒烟，且大多数（77.6%）有戒烟意愿。超过三分之一的吸烟者（37.4%）未被建议戒烟；44.3%未接受任何形式的尼古丁替代疗法；24.1%报告称在住院期间未接受这三种戒烟护理中的任何一种。护理的提供与患者特征无关。