J Addict Nurs. 2021;32(2):159-164. doi: 10.1097/JAN.0000000000000403.
Tobacco is the leading cause of preventable death, and over 200,000 women die each year of diseases caused by tobacco. Women with substance use disorders (SUDs) are disproportionately affected. Smoking prevalence among individuals enrolled in SUD treatment is 2-4 times higher than that of the general population, yet less than half of all treatment facilities offer tobacco treatment services. However, when individuals combine treatment, they have a greater likelihood of long-term abstinence from alcohol and other substances of use.
A quality improvement project was undertaken to implement the U.S. Public Health Service guideline for tobacco cessation in a women's residential substance use treatment facility. Tobacco users were advised on their health risk and recommended to cut down or quit. They were advised that help was available using nicotine replacement therapy, behavioral counseling, or both.
Upon admission, 67% of clients received brief advice to quit, and 30% participated in an intensive treatment aimed at reducing or eliminating cigarette use. At discharge, counseling participants (n = 21) smoked an average of nine cigarettes per day, reduced from 23, which was statistically significant.
Interventions reduced cigarette smoking in a population at a high risk for adverse outcomes related to use. Results suggest that more clients are interested in tobacco treatment than previously estimated. Increased administrative, clinical, and pharmacy support can sustain and further assist clients with cessation efforts.
烟草是可预防死亡的主要原因，每年有超过 20 万名女性死于烟草引起的疾病。有物质使用障碍（SUD）的女性受到的影响不成比例。在参加 SUD 治疗的个体中，吸烟率是普通人群的 2-4 倍，但不到一半的治疗设施提供烟草治疗服务。然而，当个人同时接受治疗时，他们更有可能长期戒除酒精和其他物质的使用。
一项质量改进项目被用于在女性住院物质使用治疗机构中实施美国公共卫生服务的烟草戒断指南。向烟草使用者提供关于其健康风险的建议，并建议他们减少或戒烟。建议他们可以使用尼古丁替代疗法、行为咨询或两者结合来获得帮助。
入院时，67%的客户接受了简短的戒烟建议，30%的客户参加了旨在减少或消除吸烟的强化治疗。在出院时，接受咨询的参与者（n=21）平均每天吸烟 9 支，从 23 支减少，这具有统计学意义。
干预措施减少了高危人群与使用相关的不良后果的吸烟量。结果表明，对烟草治疗感兴趣的客户比之前估计的要多。增加行政、临床和药房支持可以维持并进一步帮助客户戒烟。
