Building capacity in tobacco control by establishing the Eastern Europe Nurses' Center of Excellence for Tobacco Control.
Building capacity in tobacco control by establishing the Eastern Europe Nurses' Center of Excellence for Tobacco Control.
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DOI：
10.18332/tpc/128190
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发表时间：
2020
影响因子：
1.8
通讯作者：
Sarna L
中科院分区：
文献类型：
--
作者：
Bialous SA;Nohavova I;Kralikova E;Wells MJ;Brook J;Sarna L
在中欧和东欧，受过适当教育的护士提供循证烟草依赖治疗可有助于改善健康，减少与烟草有关的疾病和死亡的区域差异。这项研究的目的是描述东欧护士烟草控制英才中心(COE)的发展，并使用5AS框架评估其烟草依赖治疗在线教育计划。在线教育评估是在前瞻性、单组、前后评估护士自我报告的戒烟干预措施的变化后进行的。来自五个东欧国家(匈牙利、捷克共和国、罗马尼亚、斯洛伐克、斯洛文尼亚)的领导人制定了国内烟草控制教育议定书。护士回答基线调查，访问在线护理教育计划，并在2015年12月至2016年6月期间在3个月内完成跟踪调查。来自五个国家的695名护士在基线上回答了关于戒烟干预的问题，其中507名(73%)在3个月后完成了随访调查。在3个月的随访中，507名护士自我报告在提供所有5A组件方面显著增加，即护士(P<；0.0001)更有可能总是/通常建议患者戒烟、评估戒烟兴趣(P=0.002)、协助戒烟计划、审查戒烟障碍以及建议出院后无烟家庭(P<；0.0001)。他们也更有可能(p=0.01)同意或强烈同意护士有义务就吸烟的风险向患者提供建议。护士对前一周提供戒烟干预的患者数量的估计有显著增加(P<；0.0001)。与从不吸烟的护士相比，吸烟的护士协助和安排的可能性高出60%。通过COE协调多国活动，成功地吸引了护士网络使用在线教育方案并参与其他烟草控制活动。
Properly educated nurses delivering evidence-based tobacco dependence treatment could contribute to improving health and reducing regional disparities in tobacco-related disease and death in Central and Eastern Europe. The aims of this study are to describe development of the Eastern European Nurses’ Centre of Excellence for Tobacco Control (COE) and evaluate its online educational program on tobacco dependence treatment using the 5As framework. The online education evaluation followed a prospective, single group, pre- and post-assessment of changes in nurses’ self-reported tobacco cessation interventions. Leaders from five Eastern European countries (Hungary, Czech Republic, Romania, Slovakia, Slovenia) developed protocols for in-country tobacco control education. Nurses responded to a baseline survey, accessed an online nursing educational program, and completed a follow-up survey at 3 months, in the period December 2015 to June 2016. A total of 695 nurses from five countries answered questions on cessation interventions at baseline and of these 507 (73%) completed a follow-up survey at 3 months. At the follow-up at 3 months, the 507 nurses self-reported a significant increase in providing all 5A components, i.e. nurses were significantly (p<0.0001) more likely to always /usually advise a patient to quit, assess interest in quitting (p=0.002), assist with a quit plan, review barriers to quitting and recommend a smoke-free home post-discharge (all p<0.0001). They were also significantly more likely (p=0.01) to agree or strongly agree that nurses have an obligation to advise patients on the risks of smoking. There was a significant increase (p<0.0001) in nurses’ estimate of the number of patients they provided a cessation intervention the previous week. Nurses who smoked were 60% more likely to assist and arrange compared to nurses who never smoked. Coordinating multi-country activities through a COE was successful in engaging a network of nurses to use an online educational program and participate in other tobacco control activities.
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影响因子：
4.3
作者：
Bialous, Stella A.;Sarna, Linda;Przewozniak, Krzysztof
通讯作者：
Przewozniak, Krzysztof
影响因子：
3.8
作者：
Sarna, Linda;Bialous, Stella Aguinaga;Brook, Jenny
通讯作者：
Brook, Jenny
影响因子：
2
作者：
Bialous, Stella Aguinaga;Sarna, Linda
通讯作者：
Sarna, Linda
影响因子：
3.8
作者：
Sarna, Linda;Bialous, Stella Aguinaga;Brook, Jenny
通讯作者：
Brook, Jenny
影响因子：
3.4
作者：
Sarna, Linda P.;Bialous, Stella Aguinaga;Brook, Jenny K.
通讯作者：
Brook, Jenny K.