Wilson D M, Gellatly-Frey H, Bauman H C
McMaster Family Practice Unit, McMaster University Medical Centre Campus.
Can Fam Physician. 1998 Jun;44:1310-8.
There are very few smoking cessation resources in the community, and many family physicians have not incorporated smoking cessation counseling into their practices. Yet many smokers are interested in individual assistance to stop smoking. McMaster SmokeStop is a unique smoking cessation program that operates within the Family Practice Unit at McMaster University Medical Centre. The program has been in operation since October 1994. Additional clinics have been established at three other Hamilton hospitals and a community health centre in the past year.
To assist people to change smoking behaviour by quitting, cutting down, or making progress toward quitting as manifested by an advance in stage of change using the Prochaska and DiClemente model. The program was established in response to requests from various health care providers who wanted to refer difficult and challenging smoking patients.
Using an individual counseling approach, the program assists smokers with the use of reflective listening and support as well as, when indicated, acupuncture, nicotine patch, nicotine gum, stress management, and behaviour modification. Thirty to 60 minutes are allowed for initial appointments and 15 to 30 minutes for follow-up appointments.
The program has become a popular resource for health care providers in the community who refer difficult smoking patients. Because of increasing numbers of smokers who wish to attend, the clinics have expanded considerably.
社区内的戒烟资源非常少，许多家庭医生尚未将戒烟咨询纳入他们的业务中。然而，许多吸烟者对个人戒烟帮助很感兴趣。麦克马斯特戒烟项目是一个在麦克马斯特大学医学中心家庭医疗部开展的独特戒烟项目。该项目自1994年10月起开始运作。在过去一年里，另外三家汉密尔顿医院和一个社区健康中心也设立了诊所。
根据普罗查斯卡和迪克莱门特模型，通过戒烟、减少吸烟量或在改变阶段取得进展（如改变阶段的推进）来帮助人们改变吸烟行为。该项目是应各种医疗服务提供者的请求而设立的，他们希望转诊难以戒烟且具有挑战性的吸烟患者。
该项目采用个体咨询方法，通过运用反思性倾听和支持，以及在必要时采用针灸、尼古丁贴片、尼古丁口香糖、压力管理和行为矫正等方式来帮助吸烟者。初诊时间为30至60分钟，复诊时间为15至30分钟。
该项目已成为社区医疗服务提供者转诊难以戒烟患者的热门资源。由于希望参加的吸烟者数量不断增加，诊所规模已大幅扩大。
