Helping smokers quit: behaviours and attitudes of Chinese Registered Nurses
Helping smokers quit: behaviours and attitudes of Chinese Registered Nurses
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DOI：
10.1111/jan.12811
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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。描述中国护士自我报告的帮助吸烟者戒烟的干预频率，使用5A（即询问，建议，评估，协助，安排），对烟草控制的态度和一致性干预的差异，人口统计学和专业特征，在教育干预之前，以增加护士对戒烟努力的支持。烟草使用是中国可预防死亡的主要原因;戒烟可降低健康风险和过早死亡。《中国戒烟治疗指南》支持5A干预模式，但护士提供戒烟干预的频率尚不清楚。描述性调查使用方便的样品。2012年，中国北京和合肥八家医院的护士完成了一项网络调查。采用多元Logistic回归分析确定护士特征在5个As一致性方面的差异。护士在烟草控制中的整体重要性采用1 - 5分制（5分=最重要）进行评价。护士（N = 2440; 1404北京，1036合肥）参加。64%的人不断询问吸烟状况，85%的人建议患者戒烟，52%的人评估戒烟准备并协助戒烟，17%的人安排随访。干预措施因护士的教育和临床环境而异。护士对参与控烟工作持积极态度（4.3/5），认为护士应成为无烟榜样（4.8/5.0）。本研究显示，大部分的护士询问吸烟状况，但协助戒烟的却不多。需要进一步努力帮助护士积极促进戒烟干预措施。
Aims. To describe the self-reported frequency of Chinese nurses' interventions to help smokers quit, using the 5 As (i.e. Ask, Advise, Assess, Assist, Arrange), attitudes towards tobacco control and differences in consistency interventions by demographic and professional characteristics prior to an educational intervention to increase nurses' support for quit efforts.Background. Tobacco use is the leading cause of preventable death in China; quitting smoking reduces health risks and premature death. The China Tobacco Cessation Treatment Guideline supports the 5 As model for intervention, but nurses' frequency of delivering smoking cessation interventions is unknown.Design. Descriptive survey using a convenience sample.Methods. Nurses from eight hospitals in Beijing and Hefei, China completed a web-based survey in 2012. Differences in consistency of the 5 As by nurse characteristics were determined using multivariate logistic regression. Overall importance of nurses in tobacco control was evaluated on a 1-5 scale (5 = most important).Results. Nurses (N = 2440; 1404 Beijing, 1036 Hefei) participated. 64% consistently asked about smoking status, 85% advised patients to quit, 52% assessed readiness to quit and assisted with smoking cessation and 17% arranged for follow-up. Interventions varied by nurses' education and clinical setting. Nurses positively viewed involvement in tobacco control (4.3/5) and thought nurses should be smoke-free role models (4.8/5.0).Conclusions. This study demonstrates that the majority of nurses asked about smoking status, but few assisted patients with quitting. Further efforts are needed to help nurses actively promote smoking cessation interventions.