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一项由护士主导的针对医疗保健专业人员的简短戒烟培训计划的影响。

Impact of a nurse-led brief tobacco cessation training program for healthcare professionals.

作者信息

Grech Joseph

机构信息

Institute of Applied Sciences, Malta College of Arts, Science & Technology, Paola, Malta.

Health Promotion and Disease Prevention Directorate, Department for Health Regulation, Ministry for Health, Pietà, Malta.

出版信息

Public Health Nurs. 2021 Sep;38(5):869-878. doi: 10.1111/phn.12925. Epub 2021 May 27.

Abstract

OBJECTIVE

To assess the impact of a tobacco cessation training program on healthcare professionals' smoking cessation practices, counseling-related opinions, and attitudes about their role in tobacco control.

DESIGN

A single group pre- and post-design.

SAMPLE

Eligible participants (n = 133) were health professionals who attended a training program between September 2018 and June 2019 at specific training sites in Malta.

MEASUREMENTS

An already established questionnaire was used to compare healthcare professionals' practices, opinions, and attitudes before the training program, and at 3-month follow-up.

INTERVENTION

A public health nurse-led, 3-hr training intervention addressing tobacco use and tobacco cessation with emphasis on the 5As (Ask, Advise, Assess, Assist and Arrange) framework.

RESULTS

Healthcare professionals were favorably disposed towards counseling patients to stop. While participants still found it difficult to get clients to quit and lacked the time to counsel patients, they were more likely to deliver tobacco cessation interventions frequently at follow-up.

CONCLUSION

Despite these challenges, this training program was found useful by the participants, who took a more comprehensive approach to address tobacco use. Public health nurses are encouraged to take a leading role in tobacco cessation training initiatives as part of their efforts to improve population health.

摘要

目的

评估戒烟培训项目对医护人员戒烟实践、咨询相关意见以及他们在烟草控制中角色的态度的影响。

设计

单组前后设计。

样本

符合条件的参与者(n = 133)是2018年9月至2019年6月期间在马耳他特定培训地点参加培训项目的卫生专业人员。

测量

使用一份已有的问卷来比较培训项目前和3个月随访时医护人员的实践、意见和态度。

干预

由公共卫生护士主导的3小时培训干预,内容涉及烟草使用和戒烟,重点是5A(询问、建议、评估、协助和安排)框架。

结果

医护人员倾向于为患者提供戒烟咨询。虽然参与者仍然发现让客户戒烟很困难且缺乏为患者提供咨询的时间,但他们在随访时更有可能频繁地进行戒烟干预。

结论

尽管存在这些挑战,但参与者认为该培训项目有用,他们采用了更全面的方法来应对烟草使用。鼓励公共卫生护士在戒烟培训倡议中发挥主导作用,作为他们改善人群健康努力的一部分。

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