Fiore M C, Jorenby D E, Baker T B
University of Wisconsin Medical School, Madison, USA.
Ann Behav Med. 1997 Summer;19(3):213-9. doi: 10.1007/BF02892286.
Cigarette smoking remains the leading preventable cause of morbidity and premature mortality in the United States. Although the vast majority of smokers come in contact with the health care system on a regular basis, clinical smoking cessation interventions happen infrequently and in a non-systematic manner. In 1996, the Agency for Health Care Policy and Research (AHCPR) "Smoking Cessation Clinical Practice Guideline" provided detailed clinical practice recommendations based on a review of some 3,000 articles in the research literature and dozens of supporting meta-analyses. This article presents a simple four-step model for clinical smoking cessation interventions, including systematic identification of smoking status, brief cessation advice from clinicians, assessment of patient motivation, and detailed assistance for those willing to stop smoking. It also provides the empirical basis for the AHCPR Guideline recommendations.
在美国，吸烟仍然是可预防的发病和过早死亡的主要原因。尽管绝大多数吸烟者会定期与医疗保健系统接触，但临床戒烟干预措施却很少且不系统地进行。1996年，医疗保健政策与研究机构（AHCPR）的《戒烟临床实践指南》基于对研究文献中约3000篇文章和数十项支持性荟萃分析的回顾，提供了详细的临床实践建议。本文提出了一个简单的临床戒烟干预四步模型，包括系统识别吸烟状况、临床医生提供简短的戒烟建议、评估患者的动机，以及为愿意戒烟的人提供详细帮助。它还为AHCPR指南建议提供了实证依据。
