College of Nursing, Washington State University, Spokane, USA.
Program of Excellence in Addictions Research, Washington State University, Spokane, USA.
Public Health Nurs. 2019 Nov;36(6):813-818. doi: 10.1111/phn.12661. Epub 2019 Sep 5.
To evaluate the "Quit Happens" program launched to reduce tobacco use in low-income populations in a federally qualified nonprofit health center with clinics in Washington and Idaho. Quit Happens was implemented in 2015 and involved a public health nurse, patient, provider, clinic, health system, and community components.
This smoking cessation program was assessed using a pre-post evaluation design. Nine clinics in a single system of federally qualified nonprofit health centers participated in this program.
The Quit Happens program was implemented across nine clinics in Washington and Idaho. A specialized public health nurse led the tobacco cessation training of all clinic staff and assisted with development of the smoking cessation program. The 5A model was used as the framework for the training.
The proportion of patients identifying as a current or former smoker was measured using data extracted from electronic health records.
Declines in patient reports of currently smoking were observed between 2016 and 2018. The percent of current smokers identified in electronic health records decreased 18.7% and percent of former smokers doubled.
This community-based tobacco cessation program had wide clinic and community support and self-reported smoking behavior declined over time. A public health nurse's leadership in offering training and program development around tobacco cessation to a local community organization can contribute to reductions in smoking rates.
评估在华盛顿州和爱达荷州设有诊所的联邦合格非营利性健康中心，为降低低收入人群的烟草使用量而启动的“戒烟成功”项目。“戒烟成功”项目于 2015 年实施，涉及公共卫生护士、患者、提供者、诊所、医疗系统和社区等多个组成部分。
采用前后评估设计评估该戒烟项目。单一联邦合格非营利性健康中心系统的 9 家诊所参与了该项目。
“戒烟成功”项目在华盛顿州和爱达荷州的 9 家诊所实施。一名专门的公共卫生护士对所有诊所工作人员进行了烟草戒断培训，并协助制定了戒烟计划。该培训以 5A 模型为框架。
通过从电子健康记录中提取的数据来衡量患者自报为当前或曾经吸烟者的比例。
2016 年至 2018 年间，患者报告当前吸烟的比例有所下降。电子健康记录中当前吸烟者的比例下降了 18.7%，而曾经吸烟者的比例增加了一倍。
该基于社区的戒烟项目得到了广泛的诊所和社区支持，且随着时间的推移，自我报告的吸烟行为有所减少。公共卫生护士在向当地社区组织提供有关烟草戒断的培训和项目开发方面的领导作用，有助于降低吸烟率。
