Department of Medicine, Lillebaelt Hospital, Beriderbakken 4, Vejle, 7100, Denmark.
Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
BMC Health Serv Res. 2023 Jun 16;23(1):645. doi: 10.1186/s12913-023-09657-4.
Hospital visits constitute a 'window of opportunity' for initiating smoking cessation attempts, and healthcare providers (HCPs) play an important role in supporting patients to stop smoking. Yet, the current practices of supporting smoking cessation in the hospital setting are largely unexplored. The aim of this study was to explore practices of smoking cessation support among hospital-based HCPs.
HCPs working in a large hospital in the secondary care sector completed an online, cross-sectional survey, including sociodemographic and work-related factors as well as 21 questions assessing practices of smoking cessation support based on the "five As" framework. Descriptive statistics were computed, and predictors of HCPs giving patients advice to stop smoking were explored using logistic regression analysis.
All employees (N = 3998) in the hospital received a survey link; 1645 (41.1%) HCPs with daily patient contact completed the survey. Smoking cessation support in the hospital setting was limited with regard to assessment of smoking; providing information and advice; planning and referral for further support; and follow-up on smoking cessation attempts. Almost half (44.8%) of participating HCPs with daily patient contact never or rarely advise their patients to stop smoking. Physicians were more likely than nurses to advice patients to stop smoking, and HCPs in outpatient clinics were more likely to give advice than inpatient clinic HCPs.
Smoking cessation support is very limited in the hospital-based healthcare setting. This is problematic, as hospital visits can be windows of opportunity to help patients change their health behaviour. An intensified focus on the implementation of hospital-based smoking cessation support is needed.
医院就诊构成了戒烟尝试的“机会之窗”，医疗保健提供者（HCP）在支持患者戒烟方面发挥着重要作用。然而，目前在医院环境中支持戒烟的做法在很大程度上仍未得到探索。本研究旨在探讨医院 HCP 支持戒烟的实践。
在一家二级保健领域的大型医院工作的 HCP 完成了一项在线横断面调查，包括社会人口统计学和工作相关因素以及 21 个问题，这些问题基于“五个 A”框架评估了戒烟支持的实践。计算了描述性统计数据，并使用逻辑回归分析探讨了 HCP 向患者提供戒烟建议的预测因素。
医院所有员工（n=3998）均收到调查链接；有 1645 名（41.1%）与患者有日常接触的 HCP 完成了调查。医院环境中的戒烟支持在评估吸烟状况、提供信息和建议、计划和转介进一步支持以及随访戒烟尝试方面都很有限。参与调查的有日常接触患者的 HCP 中，有近一半（44.8%）从不或很少建议其患者戒烟。医生比护士更有可能建议患者戒烟，而门诊诊所的 HCP 比住院诊所的 HCP 更有可能提供建议。
在基于医院的医疗保健环境中，戒烟支持非常有限。这是有问题的，因为医院就诊可以成为帮助患者改变健康行为的机会之窗。需要更加关注在医院实施戒烟支持。
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