Becoming tobacco-free: Changes in staff and patient attitudes and incident reports in a large academic mental health and addictions hospital.
Becoming tobacco-free: Changes in staff and patient attitudes and incident reports in a large academic mental health and addictions hospital.
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DOI：
10.1111/ajad.12513
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发表时间：
2017-03
期刊：
影响因子：
--
通讯作者：
George TP
中科院分区：
文献类型：
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作者：
Riad-Allen L;Dermody SS;Herman Y;Bellissimo K;Selby P;George TP
人们认为，精神卫生机构全面禁烟可能会产生不良后果。我们评估了与实施加拿大最大的多站点学术精神病医院烟草禁令相关的工作人员和患者的态度以及不良事件。共有 1,173 名工作人员和 422 名患者在实施前（基线）、实施后 4-6 个月和 10-12 个月完成了匿名态度调查。无烟倡议是分阶段实施的，可以前瞻性地衡量一年内的态度变化和躁动等不良后果。我们观察到工作人员和患者对工作人员和患者无烟政策的态度发生了积极变化。此外，在与火灾相关的事件中，患者躁动 F (2,99) = 3.25，p = 0.04 也有统计学显着下降，但 F (2, 21) = 1.09，p = 0.35 没有变化。在这项无烟医院举措的第一年里，我们观察到工作人员和患者态度发生了积极变化，患者躁动情绪显着减少。在这项无烟精神病医院政策的第一年，在大型心理健康和成瘾环境中实施无烟环境是可行的，并且大多数接受调查的工作人员和患者认为这是可取的，并且还观察到与患者激动相关的事件有所减少。有必要进行进一步的、更长研究时间的良好对照研究。
Complete tobacco bans in mental health facilities are thought to have the potential for adverse consequences. We evaluated staff and patient attitudes and adverse events associated with implementing Canada's largest, multi-site academic psychiatric hospital tobacco ban. A total of 1,173 staff and 422 patients completed an anonymous attitudes survey at prior to implementation (baseline), and 4-6 months and 10-12 months post-implementation. The tobacco-free initiative was implemented in a phased approach, allowing the prospective measurement of changes in attitudes and adverse outcomes such as agitation over a 1-year period. We observed positive changes in staff and patient attitudes towards the tobacco-free policy for both staff and patients. Moreover, there was also a statistically significant decrease in patient agitation F (2,99) = 3.25, p=0.04, but no change F (2, 21) = 1.09, p=0.35 in fire-related incidents. We observed positive changes in staff and patients attitudes and significant decrease in patient agitation during the first year of this tobacco-free hospital initiative. During the first year of this tobacco-free psychiatric hospital policy, implementation of a tobacco-free environment in a large mental health and addictions setting was feasible and perceived as desirable by the majority of staff and patients surveyed and a decrease in incidents related to patient agitation was also observed. Further well-controlled studies with longer study durations are warranted.