医院护士对戒烟干预措施的知识、态度和行为：一项横断面研究。

The knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions: a cross-sectional study.

作者信息

Čivljak Marta, Ačkar Lovro, Puljak Livia

机构信息

Center for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Ilica 242, Zagreb, 10000, Croatia.

出版信息

BMC Nurs. 2023 Jul 3;22(1):228. doi: 10.1186/s12912-023-01394-7.

DOI:10.1186/s12912-023-01394-7

PMID:37394472

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10316570/

Abstract

BACKGROUND

Smoking is a major public health problem in Croatia. It is unknown to what extent nurses in Croatia use interventions for smoking cessation to help their patients. This study aimed to analyze the knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions.

METHODS

We conducted a cross-sectional study in Zagreb, Croatia, in 2022 on a convenient sample of hospital nurses. We collected data with a questionnaire that included sociodemographic questions and questions about the frequency of implementation of 5 A's (Ask, Advise, Assess, Assist, Arrange) interventions for smoking cessation during their work using the Helping Smokers Quit (HSQ) survey, participants' attitudes and knowledge about smoking cessation skills and the smoking status of the nurses.

RESULTS

There were 824 nurses employed in the targeted departments; 258 nurses participated in the study (response rate: 31%). Among them, 43% responded that they always ask patients about their use of tobacco products. Only 2.7% indicated that they always help the patient to stop smoking. Very few (2%) attended any training in the past two years about helping patients to quit smoking, and 82% never had such training. 44% of the included nurses were smokers. Nurses who smoked stated more frequently than nonsmokers they should not be role models for their patients by avoiding smoking (P 0.001). Additionally, patients were less frequently questioned about their inability to stop smoking by nurses who smoked than nurses who did not smoke (P = 0.010).

CONCLUSION

Even though smoking cessation interventions delivered by nurses were proven effective, such interventions are used by a small number of surveyed nurses. A small number of nurses have received training to help them support smokers in quitting. The high smoking prevalence among nurses may impact their attitudes and the implementation of workplace smoking cessation efforts.

摘要

背景

吸烟是克罗地亚的一个主要公共卫生问题。克罗地亚护士在多大程度上使用戒烟干预措施来帮助患者尚不清楚。本研究旨在分析医院护士对戒烟干预措施的知识、态度和行为。

方法

2022年，我们在克罗地亚萨格勒布对医院护士的便利样本进行了一项横断面研究。我们使用一份问卷收集数据，该问卷包括社会人口统计学问题，以及关于使用“帮助吸烟者戒烟”（HSQ）调查在工作中实施5A戒烟干预措施（询问、建议、评估、协助、安排）的频率、参与者对戒烟技能的态度和知识以及护士的吸烟状况等问题。

结果

目标科室有824名护士受雇；258名护士参与了研究（应答率：31%）。其中，43%的人回答说他们总是询问患者是否使用烟草制品。只有2.7%的人表示他们总是帮助患者戒烟。在过去两年中，很少有人（2%）参加过任何关于帮助患者戒烟的培训，82%的人从未接受过此类培训。纳入研究的护士中有44%是吸烟者。吸烟的护士比不吸烟的护士更频繁地表示，他们不应通过避免吸烟来为患者树立榜样（P<0.001）。此外，吸烟的护士比不吸烟的护士更少询问患者无法戒烟的情况（P = 0.010）。