Sigler Rachel, Robertson Kelly, Herrman Megan, Newman Jessica R
Department of Internal Medicine, University of Kansas Medical Center.
Department of Pharmacy Services, University of Kansas Medical Center.
Kans J Med. 2022 Apr 29;15(1):131-134. doi: 10.17161/kjm.vol15.16210. eCollection 2022.
Use of tobacco products carries significant long-term health risks, and rates of smoking in persons living with HIV are as high as two to three times that of the general population. This study aimed to increase assessment of readiness to quit smoking and provide cessation counseling to patients receiving HIV care through an infectious disease clinic.
This study was a pilot implementation in a single-center teaching hospital. In total, 603 active patients with HIV were followed in clinic at the time of the study start; of these, 79 were active tobacco smokers (13%) and eligible for the intervention. Providers were educated on recommendations for tobacco smoking cessation counseling, intervention strategies, and options for treatment. Patients who smoked tobacco were assessed for readiness to quit. Cessation counseling and tobacco cessation mediations or nicotine replacement were provided at the discretion of the patient and physician based on visit discussions. Primary outcome measures were increase in assessment of readiness to quit and in providing cessation counseling. Secondary measures included tabulation of the number of patients provided with a tobacco smoking cessation treatment and those with a successful quit episode.
There was a moderate increase in patients assessed for readiness to quit and who received tobacco smoking cessation counseling and treatment medications during the pilot. In total, 11 patients (8.7%) reported quitting smoking for at least two weeks.
Additional work on streamlined mechanisms to identify tobacco use and provide efficient and effective tobacco smoking cessation counseling are needed in this high-risk population.
使用烟草制品会带来重大的长期健康风险，感染艾滋病毒者的吸烟率高达普通人群的两到三倍。本研究旨在加强对戒烟意愿的评估，并通过一家传染病诊所为接受艾滋病毒护理的患者提供戒烟咨询。
本研究是在一家单中心教学医院进行的试点实施。在研究开始时，共有603名活跃的艾滋病毒患者在诊所接受随访；其中，79人是现吸烟者（13%），符合干预条件。为医护人员提供了关于吸烟戒烟咨询的建议、干预策略和治疗选择的培训。对吸烟患者的戒烟意愿进行了评估。根据就诊讨论情况，由患者和医生自行决定是否提供戒烟咨询以及戒烟药物或尼古丁替代疗法。主要结局指标是戒烟意愿评估的增加以及提供戒烟咨询的增加。次要指标包括接受吸烟戒烟治疗的患者人数和成功戒烟患者人数的统计。
在试点期间，接受戒烟意愿评估并接受吸烟戒烟咨询和治疗药物的患者有适度增加。总共有11名患者（8.7%）报告戒烟至少两周。
在这一高危人群中，需要在简化识别烟草使用的机制以及提供高效有效的吸烟戒烟咨询方面开展更多工作。
