一种促使医生行动起来推动心血管高危患者戒烟的有效策略。
An Effective Strategy to Activate Physicians to Promote High Cardiovascular Risk Patients to Quit Smoking.
作者信息
Su Cheng-Huang, Jeng Jiann-Shing, Tu Shih-Te, Huang Chien-Ning, Yeh Hung-I
机构信息
Cardiovascular Center, MacKay Memorial Hospital, Taipei & MacKay Medical College, New Taipei City.
Stroke Center and Department of Neurology, National Taiwan University Hospital, Taipei.
出版信息
Acta Cardiol Sin. 2022 Jul;38(4):521-525. doi: 10.6515/ACS.202207_38(4).20220224A.
BACKGROUND
Adult patients cared for by cardiologists, neurologists, and diabetologists are highly vulnerable to cardiovascular diseases (CVDs), which are worsened by smoking. In the past, physicians of these three specialties at major hospitals in Taiwan always referred patients to family medicine and chest medicine departments for smoking cessation programs. However, the participation rate in these programs was unsatisfactory.
OBJECTIVES
To encourage cardiologists, neurologists, and diabetologists to provide smoking cessation treatment services (SCTSs) to their patients through an annual contest.
METHODS
Sequential expert meetings, group training, a contest to reward service quantity and abstinence rate, and an annual awards ceremony were held over the past 3 years.
RESULTS
More than 350 cardiologists, neurologists, and diabetologists were certified to provide SCTSs, and in the second half of 2020, 3716 high CVD risk patients entered smoking cessation treatment programs, with an abstinence rate exceeding 30% at 3 months.
CONCLUSIONS
The strategy used in this study was effective in overcoming physician inertia to provide SCTSs and encourage high CVD risk smokers to quit smoking.
背景
由心脏病专家、神经科医生和糖尿病专家护理的成年患者极易患心血管疾病（CVDs），而吸烟会使病情恶化。过去，台湾各大医院这三个专科的医生总是将患者转介到家庭医学和胸科部门进行戒烟项目。然而，这些项目的参与率并不理想。
目的
通过年度竞赛鼓励心脏病专家、神经科医生和糖尿病专家为其患者提供戒烟治疗服务（SCTSs）。
方法
在过去3年中，先后召开了专家会议、小组培训、奖励服务量和戒烟率的竞赛以及年度颁奖典礼。
结果
350多名心脏病专家、神经科医生和糖尿病专家获得了提供SCTSs的认证，在2020年下半年，3716名心血管疾病高风险患者进入了戒烟治疗项目，3个月时的戒烟率超过30%。
结论
本研究中使用的策略有效地克服了医生提供SCTSs的惰性，并鼓励心血管疾病高风险吸烟者戒烟。
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