Taylor C B, Miller N H, Herman S, Smith P M, Sobel D, Fisher L, DeBusk R F
Department of Psychiatry, Stanford University School of Medicine, CA 94305-5542, USA.
Am J Public Health. 1996 Nov;86(11):1557-60. doi: 10.2105/ajph.86.11.1557.
This study evaluated a nurse-managed smoking cessation program for smokers hospitalized for a variety of conditions.
Hospitalized patients who smoked prior to hospitalization and who were motivated to quit (n = 660) were randomized to intervention or usual-care groups and followed for the next year. The intervention included a meeting with the nurse-case manager; the use of a videotape, workbook, relaxation audiotape, and nicotine replacement therapy; and nurse-initiated phone contacts after discharge.
The 12-month confirmed cessation rates were 21% and 31% for, respectively, the usual-care and intervention groups (odds ratio = 1.7; 95% confidence interval = 1.1, 2.3).
A nurse-managed smoking cessation intervention can significantly increase cessation rates for hospitalized patients.
本研究评估了一项由护士管理的针对因各种病症住院的吸烟者的戒烟计划。
将住院前吸烟且有戒烟意愿的患者（n = 660）随机分为干预组或常规护理组，并在接下来的一年进行随访。干预措施包括与护士个案管理员会面；使用录像带、工作手册、放松录音带和尼古丁替代疗法；以及出院后护士发起的电话联系。
常规护理组和干预组的12个月确认戒烟率分别为21%和31%（优势比 = 1.7；95%置信区间 = 1.1, 2.3）。
由护士管理的戒烟干预措施可显著提高住院患者的戒烟率。
