Northern Hospital, Northern Health, Melbourne, Victoria, Australia.
Northern Area Mental Health Service, Melbourne Health, Melbourne, Victoria, Australia.
J Addict Dis. 2020 Oct-Dec;38(4):582-584. doi: 10.1080/10550887.2020.1791379. Epub 2020 Jul 12.
Tobacco smoking is more prevalent among people who experience mental illness. It is therefore a prominent issue for psychiatric inpatient units. The COVID-19 pandemic has meant that many psychiatric inpatient units are no longer granting leave and outdoor smoking breaks, prompting the question of whether to allow tobacco smoking or enforce smoking bans in mental health services. There is currently mixed evidence that tobacco smoking is associated with a higher risk of developing COVID-19 and poorer outcomes for COVID-19 cases, potentially due to current small sample sizes. Considering the benefits of smoking cessation in this vulnerable population, the current pandemic should be used as an opportunity to further enforce smoking cessation in mental health facilities and encourage nicotine replacement therapy alongside cessation counseling.
吸烟在患有精神疾病的人群中更为普遍。因此，这是精神科住院病房的一个突出问题。COVID-19 大流行意味着许多精神科住院病房不再允许请假和户外吸烟休息，这促使人们提出了是否允许在精神卫生服务中吸烟或实施禁烟的问题。目前的证据喜忧参半，表明吸烟与 COVID-19 发病风险增加和 COVID-19 病例结局较差有关，这可能是由于目前的样本量较小。考虑到在这一脆弱人群中戒烟的益处，当前的大流行应该是一个加强精神卫生机构戒烟并鼓励尼古丁替代疗法和戒烟咨询的机会。
