Impact of a Smoking Cessation Educational Program on Nurses' Interventions
Impact of a Smoking Cessation Educational Program on Nurses' Interventions
复制标题
DOI：
10.1111/jnu.12086
复制
发表时间：
2014-09-01
影响因子：
3.4
通讯作者：
Brook, Jenny K.
中科院分区：
文献类型：
--
作者：
Sarna, Linda P.;Bialous, Stella Aguinaga;Brook, Jenny K.
目的 评估关于戒烟的简短教育计划对护士干预吸烟者的频率以及护士吸烟状况对结果的影响。设计 前瞻性、单组设计，包含研究前和 3 个月研究后数据。方法 捷克共和国的护士参加了以医院为基础的一小时教育项目，旨在帮助吸烟者戒烟。他们使用 5A 框架（即询问、建议、评估、协助、安排）完成了对患者进行戒烟干预的频率（即总是、通常、有时、很少、从不）的调查，以及他们在课程前和课程后 3 个月的态度。人口统计数据包括吸烟状况。结果 在拥有研究前和研究后数据的 98 名护士中，全部都是女性，平均年龄为 43 岁，33% 是目前吸烟者，64% 在内科、外科或肿瘤科工作。 3 个月时，与基线相比，评估患者戒烟兴趣、协助戒烟尝试并建议使用戒烟热线戒烟的护士明显增多 (p < .05)。项目结束后 3 个月，吸烟的护士不太可能询问吸烟状况（比值比 [OR] = 4.24，95% 置信区间 [CI；1.71, 10.53]），建议吸烟者戒烟（OR = 3.03，95% CI [1.24,7.45]），并将患者转至戒烟热线（OR = 2.92，95% CI） [0.99, 8.63]）与非吸烟者相比，尽管基线干预措施的实施没有差异。结论 参加以护士在支持戒烟工作中的作用为重点的教育计划三个月后，更多的护士参与了帮助吸烟者戒烟的干预措施。然而，该计划对于吸烟的护士来说效果较差。临床相关性 该计划在捷克护士协助戒烟的能力建设方面展现了希望，但护士的吸烟带来了挑战。
Purpose To evaluate a brief educational program about smoking cessation on the frequency of nurses' interventions with smokers, and impact of nurses' smoking status on outcomes. Design Prospective, single group design with prestudy and 3 months post-study data. Methods Nurses in the Czech Republic attended hospital-based 1-hr educational programs about helping smokers quit. They completed surveys about the frequency (i.e., always, usually, sometimes, rarely, never) of their smoking cessation interventions with patients using the five A's framework (i.e., ask, advise, assess, assist, arrange), and their attitudes prior to and 3 months after the course. Demographic data included smoking status. Findings Among the 98 nurses with prestudy and post-study data, all were female, mean age was 43 years, 33% were current smokers, and 64% worked in a medical or surgical or oncology settings. At 3 months, compared to baseline, significantly (p < .05) more nurses assessed patients' interest in quitting, assisted with quit attempts, and recommended the use of the quitline for cessation. At 3 months after the program, nurses who smoked were less likely to ask about smoking status (odds ratio [OR] = 4.24, 95% confidence interval [CI; 1.71, 10.53]), advise smokers to quit (OR = 3.03, 95% CI [1.24,7.45]), and refer patients to a quitline (OR = 2.92, 95% CI [0.99, 8.63]) compared to nonsmokers, despite no differences in delivery of interventions at baseline. Conclusions Three months after attendance at an educational program focused on the nurses' role in supporting smoking cessation efforts, more nurses engaged in interventions to help smokers quit. However, the program was less effective for nurses who smoked. Clinical Relevance This program demonstrated promise in building capacity among Czech nurses to assist with smoking cessation, but nurses' smoking poses a challenge.