Evaluation of a web-based educational programme on changes in frequency of nurses' interventions to help smokers quit and reduce second-hand smoke exposure in China
Evaluation of a web-based educational programme on changes in frequency of nurses' interventions to help smokers quit and reduce second-hand smoke exposure in China
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DOI：
10.1111/jan.12816
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发表时间：
2016-01-01
影响因子：
3.8
通讯作者：
Brook, Jenny
中科院分区：
文献类型：
--
作者：
Sarna, Linda;Bialous, Stella Aguinaga;Brook, Jenny
目标。评估一项基于网络的戒烟教育计划，了解医院护士自我报告干预措施的频率变化，以帮助吸烟者使用5个As（即询问、建议、评估、协助、安排）戒烟，减少二手烟暴露，改变护士参与烟草控制的态度。在中国，很少有护士支持吸烟者使用基于5个a的循证戒烟干预措施。有限的知识是干预的障碍。基于网络的戒烟项目有可能影响到大量的护士。本研究采用前瞻性单组设计，对2012-2013年在中国两个城市开展基于网络的教育项目的可行性进行评估，随访时间分别为学前、3个月和6个月。干预措施的频率是通过一项有效可靠的基于网络的调查来评估的，调查对象是来自中国北京和合肥八家医院的护士。采用广义线性模型，调整年龄、临床环境、教育程度和部位，以确定从基线到3个月和6个月的5个a的一致性（通常/总是）使用的变化。护士（N = 1386）有基线和/或3个月和6个月的数据。6个月时，护士更有可能评估、协助和安排戒烟，并推荐无烟家庭环境。对烟草控制的态度有显著改善。接受网络戒烟教育的护士显著增加了向吸烟患者提供干预措施的自我报告频率，包括推荐无烟家庭环境以支持戒烟尝试。
Aims. To evaluate a web-based educational smoking cessation programme on changes in the frequency of hospital-based nurses' self-reported interventions to help smokers quit using the 5 As (i.e. Ask, Advise, Assess, Assist, Arrange), to reduce exposure to second-hand smoke and to change attitudes about nurses' involvement in tobacco control.Background. Few nurses in China support smokers' quit attempts using evidence-based smoking cessation interventions based on the 5 As. Limited knowledge is a barrier to intervention. Web-based tobacco cessation programs have the potential to reach a large population of nurses.Design. A prospective single-group design with pre-, 3- and 6-month follow-up after the educational programme evaluated the feasibility of conducting web-based educational programs in two cities in China in 2012-2013.Methods. Frequency of interventions was assessed using a valid and reliable web-based survey with a convenience sample of nurses from eight hospitals in Beijing and Hefei, China. Generalized linear models, adjusting for age, clinical setting, education and site were used to determine changes in the consistent (usually/always) use of the 5 As from baseline to 3 and to 6 months.Results. Nurses (N = 1386) had baseline and/or 3- and 6-month data. At 6 months, nurses were significantly more likely to Assess, Assist and Arrange for smoking cessation and recommend smoke-free home environments. There was significant improvement in attitudes about tobacco control.Conclusions. Nurses receiving web-based smoking cessation education significantly increased self-reports of frequency of providing interventions to patients who smoke, including recommending smoke-free home environments to support quit attempts.