Nurse Pract. 2024 Sep 1;49(9):36-47. doi: 10.1097/01.NPR.0000000000000221. Epub 2024 Aug 27.
The emergence and subsequent surge in popularity of electronic nicotine delivery systems (ENDS), especially among adolescents and young adults, have reshaped the landscape of tobacco consumption, including use patterns and beliefs as well as therapeutic approaches to the condition. The health implications of ENDS are a cause for concern among NPs, as they include severe nicotine dependence, mental health consequences, and adverse effects on respiratory and cardiac systems, among other issues. This article focuses on the health implications of vaping across the lifespan and emphasizes the need for NPs to evaluate ENDS use consistently across age groups and offer age-appropriate treatment within the clinical setting. Importantly, although vaping is prevalent among various age groups, most tobacco use, including vaping, begins and becomes established during adolescence. This back-to-school season therefore marks an ideal time for NPs to educate their pediatric patients, along with their parents or caregivers, about the widespread effects of vaping on health, and it also serves as a reminder to screen for the condition in adults, regardless of smoking history. To combat this trend on a larger scale, NPs can further advocate for community health by promoting youth prevention programs and supporting policy initiatives aimed at curbing ENDS use.
电子尼古丁传送系统(ENDS)的出现及其随后的普及热潮,尤其是在青少年和年轻成年人中,已经重塑了烟草消费的格局,包括使用模式和观念以及对该病症的治疗方法。ENDS 的健康影响引起了 NPs 的关注,因为它们包括严重的尼古丁依赖、心理健康后果以及对呼吸和心血管系统的不良影响等问题。本文重点关注 vaping 在整个生命周期中的健康影响,并强调 NPs 需要在临床环境中根据年龄组评估 ENDS 的使用情况,并提供适合年龄的治疗。重要的是,尽管 vaping 在各个年龄段都很普遍,但大多数烟草使用,包括 vaping,都是在青少年时期开始和形成的。因此,这个返校季是 NPs 向儿科患者及其父母或照顾者教育 vaping 对健康的广泛影响的理想时机,也提醒他们在成年人中筛查该病症,无论其吸烟史如何。为了在更大范围内应对这一趋势,NPs 可以通过促进青年预防计划和支持旨在遏制 ENDS 使用的政策倡议,进一步倡导社区健康。