Royal College of Surgeons in Ireland, Ireland.
St Patrick's University Hospital, Dublin 8, Ireland.
J Psychosom Res. 2018 Dec;115:24-31. doi: 10.1016/j.jpsychores.2018.10.006. Epub 2018 Oct 14.
People with mental health difficulties (MHD) are more likely to smoke and to have smoking-related diseases, yet little research has investigated the provision of smoking cessation care in psychiatric inpatient settings. This study aimed to evaluate current levels of cessation care provided, and 3-month quit-rates, in one such setting in Ireland.
From January to October 2016, inpatients across all 8 adult wards of St Patrick's University Hospital were recruited to participate in a baseline face-to-face survey (N = 246), assessing demographic information, smoking history and quit attempts, motivation to quit, nicotine dependence, attitudes towards cessation advice and actual care received. For baseline current smokers (n = 84) who consented, casenotes were also audited for documentation of smoking status and cessation care (n = 77/84) while quit rates were assessed at three months (n = 72/84), including a carbon monoxide test for those who reported quitting.
Current smoking prevalence was 34% (n = 84/246). At baseline 75% of smokers wanted to quit and 48% reported they would like cessation advice while in hospital. Few reported receiving cessation advice from any healthcare professional in the past year (13%), while just 6% had smoking cessation care clearly documented in their casenotes. The 3-month quit-rate was 17%, with a 100% pass rate for those completing an objective CO validation test.
Despite a high current smoking prevalence among psychiatric inpatients, and similar motivation and quit rates to other populations, current cessation care rates are low. Smoking cessation care needs to be prioritised in psychiatric settings.
精神健康障碍患者（MHD）更有可能吸烟并患有与吸烟相关的疾病，但很少有研究调查在精神科住院环境中提供戒烟护理的情况。本研究旨在评估爱尔兰的一个此类环境中提供的戒烟护理的现状和 3 个月的戒烟率。
从 2016 年 1 月到 10 月，圣帕特里克大学医院的所有 8 个成人病房的住院患者都被招募参加基线面对面调查（n=246），评估人口统计学信息、吸烟史和戒烟尝试、戒烟动机、尼古丁依赖、对戒烟建议的态度以及实际接受的护理。对于同意参加的基线当前吸烟者（n=84），还对病历进行了审核，以记录吸烟状况和戒烟护理（n=77/84），同时在三个月时评估戒烟率（n=72/84），包括那些报告戒烟的人的一氧化碳测试。
当前吸烟率为 34%（n=84/246）。基线时，75%的吸烟者想戒烟，48%的人报告说他们希望在住院期间获得戒烟建议。很少有人报告在过去一年中从任何医疗保健专业人员那里获得过戒烟建议（13%），而只有 6%的人在病历中清楚记录了戒烟护理。3 个月的戒烟率为 17%，完成客观 CO 验证测试的人通过率为 100%。
尽管精神科住院患者的当前吸烟率较高，并且与其他人群的动机和戒烟率相似，但目前的戒烟护理率仍然较低。在精神科环境中需要优先考虑戒烟护理。
