Effectiveness of a smoking cessation educational program for Japanese nurses on subsequent changes of behavior in delivering smoking cessation counseling.
Effectiveness of a smoking cessation educational program for Japanese nurses on subsequent changes of behavior in delivering smoking cessation counseling.
复制标题
DOI：
10.18332/tid/144649
复制
发表时间：
2022
影响因子：
3.7
通讯作者：
Wakao F
中科院分区：
文献类型：
--
作者：
Taniguchi C;Sezai I;Yoshimi I;Hirano T;Wakao F
尽管戒烟咨询的有效性，护士参与提供戒烟建议在实践中远远不能令人满意。培训护士被认为对提高自我效能感和日常戒烟咨询的技能很重要。本研究的目的是评估戒烟教育计划对日本护士在三个月后提供戒烟咨询时的行为改变的有效性。我们在2019年5月至2020年2月期间，从日本13个县的护理协会招募了护士，对护士进行了6小时的戒烟教育计划。在项目开始前和项目开始后3个月分别进行问卷调查。根据《治疗烟草使用和依赖临床实践指南》的5a（询问、建议、评估、协助、安排）评估戒烟咨询行为的成功实施情况。项目结束3个月后，我们收到289份回复（回复率46.0%）。当时，43%的参与者增加了“询问”的频率，而“建议”、“评估”、“协助”和“安排”的频率也分别增加了42.1%、50%、39.3%和28.6%。我们发现，对于那些在项目前经常提供“建议”的参与者，在教育项目后提供戒烟咨询的频率明显更高，这可以通过之后增加提供“评估”和“协助”来衡量（OR=2.39; 95% CI: 1.00-5.69， OR=2.54; 95% CI: 1.16-5.60， OR=3.68; 95% CI: 1.40-9.65， OR=2.77; 95% CI: 1.10-7.01）。该项目成功地增加了护士为患者提供戒烟建议的频率。在项目开始前做好提供戒烟咨询的准备，并在项目结束后保持自我效能感，这对于改变护士提供戒烟咨询的行为是很重要的。
Despite the effectiveness of smoking cessation counseling, participation of nurses in delivering smoking cessation advice has been far from satisfactory in practice. Training nurses is considered to be important for increasing self-efficacy and skills for routine delivery of smoking cessation counseling. The aim of the present study was to evaluate the effectiveness of a smoking cessation educational program for Japanese nurses on subsequent changes of their behavior in delivering smoking cessation counseling, three months later. We ran a 6-hour smoking cessation educational program for nurses recruited from the Nursing Associations of 13 prefectures in Japan between May 2019 and February 2020. Surveys were conducted by questionnaire before the start of the program and 3 months thereafter. The successful implementation of smoking cessation counseling behavior was evaluated according to the 5As of the Clinical Practice Guidelines for Treating Tobacco Use and Dependence (Ask, Advise, Assess, Assist, Arrange). We received 289 responses 3 months after the program finished (response rate 46.0%). At that time, 43% of participants had increased the frequency of ‘Ask’ and 42.1%, 50%, 39.3%, and 28.6%, respectively, had also increased their frequency of ‘Advise’, ‘Assess’, ‘Assist’, and ‘Arrange’. We found that smoking cessation counseling was significantly more frequently delivered after the educational program for those participants who had routinely delivered ‘Advise’ before the program as measured by increased delivery of ‘Assess’ and ‘Assist’ afterwards (OR=2.39; 95% CI: 1.00–5.69, OR=2.54; 95% CI: 1.16–5.60 and OR=3.68; 95% CI: 1.40–9.65, OR=2.77; 95% CI: 1.10–7.01, respectively). The program successfully increased the frequency of nurses providing smoking cessation advice to patients. Readiness to deliver smoking cessation counseling before the program and continuing self-efficacy after the program are important for changing the behavior of nurses in delivering smoking cessation counseling.
登录
查看更多内容
影响因子：
2.2
作者：
Zwar, Nicholas A.;Richmond, Robyn L.;Borland, Ron
通讯作者：
Borland, Ron
影响因子：
1.8
作者：
Bialous SA;Nohavova I;Kralikova E;Wells MJ;Brook J;Sarna L
通讯作者：
Sarna L
影响因子：
4.7
作者：
Taniguchi C;Hibino F;Kawaguchi E;Maruguchi M;Tokunaga N;Saka H;Oze I;Ito H;Hiraki A;Nakamura S;Tanaka H
通讯作者：
Tanaka H
影响因子：
2.8
作者：
Lally, Robin M.;Chalmers, Karen I.;Molassiotis, Alexander
通讯作者：
Molassiotis, Alexander
影响因子：
5.1
作者：
Borrelli, Belinda;Lee, Christina;Novak, Scott
通讯作者：
Novak, Scott