Meta-analysis of the efficacy of tobacco counseling by health care providers.
Meta-analysis of the efficacy of tobacco counseling by health care providers.
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对卫生保健提供者烟草咨询效果的荟萃分析。
DOI：
10.1158/1055-9965.2012.13.12
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
J. Heck
中科院分区：
文献类型：
--
作者：
S. Gorin;J. Heck
考虑到美国成年人吸烟的比例，即使卫生专业人员对戒烟率的影响很小，这种变化对公共卫生的影响也可能是巨大的。然而，医疗保健提供者可能在戒烟效果上有所不同。本研究的目的是评估最近在医生，护士，牙医和提供者团队中进行的严格的戒烟咨询试验：（1）比较提供者对戒烟效果的影响，（2）确定哪些干预和研究特征解释了干预效果的变化。通过检索Medline、CINAHL、PSYCINFO和论文摘要以及手工检索，在1990年至2004年间发表的200多篇文章中，收集了37项由医疗保健提供者提供戒烟干预措施的随机临床试验或准实验（对照组）。结果模型是干预组和对照组之间的戒烟率的平均差异，使用对冲g。单变量结果显示，接受任何医疗保健专业人员的建议都会增加戒烟率。对戒烟干预效果的多变量分析显示，医生是最有效的，其次是多提供者团队，牙医和护士。研究结果表明，与卫生保健专业人员接触会增加戒烟;然而，需要对护士进行额外的烟草控制培训。长期的戒烟研究，特别是在牙医中，是必要的。
Given the proportion of American adults who smoke, even if health professionals only have a small effect on quit rates, the public health impact of this change could potentially be enormous. Yet, health care providers may differ in their cessation efficacy. The purpose of this study was to evaluate recent rigorous trials of smoking cessation counseling among physicians, nurses, dentists, and teams of providers: (1) to compare providers on the efficacy of cessation and (2)to determine which intervention and study characteristics explain variations in intervention effects. Thirty-seven randomized clinical trials or quasi-experiments (with control groups) of health care provider-delivered smoking cessation interventions, out of over 200 articles that were published between 1990 and 2004 were collected through searches of Medline, CINAHL, PSYCINFO, and dissertation abstracts, as well as hand searches. The outcome modeled was the mean difference between intervention and control groups in the cessation rates using Hedges g. The univariate results revealed that receiving advice from any health care professional produced increases in quit rates. Multivariate analyses of intervention effects on cessation revealed that physicians were most effective, followed by multiprovider teams, dentists, and nurses. The findings suggest that contact with a health care professional will increase cessation; however, additional training in tobacco control for nurses is warranted. Longer-term studies of smoking cessation, particularly among dentists, are necessary.
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促进孕妇和产后患者戒烟：两种方法的比较。
DOI：
--
发表时间：
2001
期刊：
The American journal of managed care
影响因子：
--
作者：
Lando,HA;Valanis,BG;Lichtenstein,E;Curry,SJ;McBride,CM;Pirie,PL;Grothaus,LC
通讯作者：
Grothaus,LC
怀孕期间和产后减少吸烟：医生的建议得到个人咨询的支持。
DOI：
10.1006/pmed.1998.0287
发表时间：
1998
期刊：
Preventive medicine.
影响因子：
--
作者：
Secker-Walker,RH;Solomon,LJ;Flynn,BS;Skelly,JM;Mead,PB
通讯作者：
Mead,PB
影响因子：
5.5
作者：
Secker-Walker,RH;Solomon,LJ;Flynn,BS;Skelly,JM;Mead,PB
通讯作者：
Mead,PB
与男性和女性大量吸烟相关的因素：医生实施的吸烟干预项目。
影响因子：
4.8
作者：
Goldberg,RJ;Ockene,JK;Kristeller,J;Kalan,K;Landon,J;HosmerJr,DW
通讯作者：
HosmerJr,DW
减少母亲吸烟和复吸：儿科干预的长期评估。
DOI：
10.1006/pmed.1996.9983
发表时间：
1997
期刊：
Preventive medicine.
影响因子：
--
作者：
Severson,HH;Andrews,JA;Lichtenstein,E;Wall,M;Akers,L
通讯作者：
Akers,L