Saint Louis University School of Nursing , Saint Louis , Missouri , USA.
Issues Ment Health Nurs. 2019 Oct;40(10):887-894. doi: 10.1080/01612840.2019.1579281. Epub 2019 May 6.
Tobacco smoking is the leading cause of preventable illness and death in the United States. Smoking and mental illness are often comorbid, yet little is known about mental health patients' perceptions, knowledge, and use of electronic nicotine delivery systems (ENDS). ENDS may be a beneficial short-term intervention to help this group quit smoking. A survey was administered to a sample of patients at an adult outpatient mental health office ( = 109, 45% male, mean age 33). The majority of participants had tried ENDS. Most used ENDS to quit smoking, and believed it was less harmful than smoking. Participants had variable knowledge about ENDS, but few had asked providers for recommendations. They reported providers were not very knowledgeable about ENDS, and were not asking providers for recommendations. ENDS may help mental health patients who have been unable to quit tobacco, but should not be recommended outside of smoking cessation. This survey provides needed information about how ENDS are being used by mental health patients to help guide future recommendations by their healthcare providers when screening for tobacco use.
吸烟是美国可预防疾病和死亡的主要原因。吸烟和精神疾病常常并存,但人们对精神健康患者对电子烟的看法、知识和使用情况知之甚少。电子烟可能是帮助这一群体戒烟的有益短期干预措施。对一家成人门诊心理健康办公室的患者样本进行了一项调查( = 109,45%为男性,平均年龄 33 岁)。大多数参与者都尝试过电子烟。大多数人使用电子烟来戒烟,并且认为电子烟比吸烟的危害小。参与者对电子烟的了解程度各不相同,但很少有人向提供者寻求建议。他们报告说,提供者对电子烟了解不多,也没有向提供者询问建议。电子烟可能对那些无法戒烟的精神健康患者有帮助,但不应在戒烟之外推荐使用。这项调查提供了有关精神健康患者如何使用电子烟的宝贵信息,有助于指导他们的医疗保健提供者在筛查烟草使用时提出未来的建议。