Brief tobacco cessation interventions: Practices, opinions, and attitudes of healthcare professionals
Brief tobacco cessation interventions: Practices, opinions, and attitudes of healthcare professionals
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DOI：
10.18332/tpc/125353
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发表时间：
2020-08-01
影响因子：
1.8
通讯作者：
Calleja, Neville
中科院分区：
文献类型：
--
作者：
Grech, Joseph;Sammut, Roberta;Calleja, Neville
尽管遵循5As算法（询问、建议、评估、协助、安排）的简短戒烟干预措施可以促使吸烟者戒烟，但在欧洲，常规戒烟干预措施的实施仍然很少。本研究旨在确定对戒烟感兴趣的医疗保健专业人员戒烟实践的程度，以及他们的意见和态度。方法采用定量、横断面调查设计。招募了参加2018年9月至2019年6月在马耳他每月举行的10次简短戒烟干预培训课程之一的医疗保健专业人员（n=133）。采用单变量逻辑回归和非参数检验来确定参与者特征之间的关联。通过多变量分析排除了潜在的混杂因素。结果大多数参与者为从未吸烟的女护士。据报道，虽然大多数专业人员询问（76.3%）、建议（83.5%）和评估（70.5%）患者戒烟，但提供帮助（40.9%）和安排随访（24.2%）的人较少。与其他参与者相比，医生更有可能在前一周为患者提供咨询。大多数专业人士倾向于建议患者戒烟，然而，他们声称他们没有足够的时间这样做。虽然大多数人发现很难让客户戒烟，但与从不吸烟的人相比，前吸烟者更有可能不同意（OR=6.86; 95% CI: 2.17-21.71; p=0.001）。结论：虽然建议更多的举措来培训医护人员提供戒烟干预，但缺乏足够的时间是一个组织障碍，需要医疗管理的探索和行动。考虑到前吸烟者在帮助病人戒烟方面更有信心，让他们参加培训活动将会有附加价值。
INTRODUCTION Although brief smoking cessation interventions that follow the 5As algorithm (Ask, Advise, Assess, Assist, Arrange) can trigger smokers to quit, routine delivery remains low in Europe. This study aimed to identify the extent of smoking cessation practices of healthcare professionals interested in tobacco cessation, and their opinions and attitudes.METHODS A quantitative, cross-sectional survey design was adopted. Healthcare professionals (n=133) who attended one of ten training sessions on brief interventions for smoking cessation, held every month between September 2018 and June 2019 in Malta, were recruited. Univariate logistic regression and non-parametric tests were carried out to identify associations by participants' characteristics. Potential confounders were ruled out following multivariate analyses.RESULTS Most participants were female nurses who had never smoked. While most professionals reportedly asked (76.3%), advised (83.5%) and assessed (70.5%) patients for cessation, fewer provided assistance (40.9%) and arranged followup (24.2%). Compared to other participants, doctors were more likely to have counselled patients over the previous week. Most professionals were favourably disposed towards counselling patients to quit, however, they claimed they had insufficient time to do so. Although most found it difficult to get clients to quit, former smokers were more likely to disagree when compared to those who never smoked (OR=6.86; 95% CI: 2.17-21.71; p=0.001).CONCLUSIONS While more initiatives to train healthcare professionals in providing smoking cessation interventions are recommended, lack of sufficient time, being an organisational barrier, requires healthcare management exploration and action. Given that former smokers were more confident in helping patients quit, engaging them in training activities would be of added value.