McCrabb Sam, Baker Amanda L, Attia John, Balogh Zsolt J, Lott Natalie, Naylor Justine, Harris Ian A, Doran Christopher M, George Johnson, Wolfenden Luke, Skelton Eliza, Bonevski Billie
School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia.
Hunter Medical Research Institute, University of Newcastle, New Lambton, NSW 2305, Australia.
Int J Environ Res Public Health. 2017 Jul 28;14(8):847. doi: 10.3390/ijerph14080847.
Smoking increases the risk of complications associated with orthopaedic trauma surgery, however delivery of care is low. Online interventions may provide needed smoking cessation care and promote abstinence. This study aims to examine the engagement, acceptability, and retention of an online smoking cessation program (Smoke-Free Recovery; SFR) among a sample of orthopaedic trauma patients, as well as themes around the smoking cessation process. A pilot study of SFR with 31 orthopaedic trauma patients admitted to a public hospital in New South Wales, Australia took place. Semi-structured telephone interviews were conducted following hospital discharge. Thematic analysis and descriptive statistics were used. Engagement was high with 28 participants accessing SFR during admission. Twenty individuals completed follow-up phone calls. Program acceptability was rated favourably. After discharge, changes in smoking habits were noted, with program retention low. Themes on program use included: lack of time or need for additional support; computer illiteracy or technology issues; feeling unready or too stressed to quit; or feeling they had reached the boundary of what could be learnt from the program. This study highlights the difficulties faced by patients following hospital admission, the lack of follow-up support received, and the need for consumer testing prior to roll out. Continuing to develop interventions to promote hospital-initiated cessation attempts that continue post-discharge should be a priority.
吸烟会增加与骨科创伤手术相关的并发症风险，但护理服务的提供情况却很差。在线干预措施可能会提供所需的戒烟护理并促进戒烟。本研究旨在调查一个骨科创伤患者样本对在线戒烟项目（无烟康复；SFR）的参与度、可接受性和持续性，以及围绕戒烟过程的主题。在澳大利亚新南威尔士州的一家公立医院，对31名骨科创伤患者进行了SFR的试点研究。出院后进行了半结构化电话访谈。采用了主题分析和描述性统计方法。参与度很高，28名参与者在住院期间访问了SFR。20人完成了随访电话。该项目的可接受性得到了好评。出院后，注意到吸烟习惯有变化，但项目持续性较低。关于项目使用的主题包括：缺乏时间或需要额外支持；电脑知识欠缺或技术问题；感觉未做好准备或压力太大无法戒烟；或者感觉自己已经达到了从该项目中能学到的极限。本研究突出了患者住院后所面临的困难、所获得的后续支持的缺乏，以及在推广之前进行消费者测试的必要性。继续开发干预措施以促进医院发起的戒烟尝试并在出院后持续进行应成为优先事项。
