Treating Tobacco Use and Dependence
Treating Tobacco Use and Dependence
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DOI：
10.1542/peds.2008-1627
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发表时间：
2008-08
期刊：
影响因子：
8
通讯作者：
Singapore Psychological
中科院分区：
文献类型：
--
作者：
Singapore Psychological
这份临床医生快速参考指南包含公共卫生服务赞助的临床实践指南，治疗烟草使用和依赖的策略和建议。该指南旨在帮助临床医生；戒烟专家；以及卫生保健管理人员、保险公司和购买者识别和评估烟草使用者并提供有效的烟草依赖干预措施。它基于对1975年至1999年间现有科学文献的详尽系统回顾和分析，并使用了50多项荟萃分析的结果。本快速参考指南总结了为每位患者提供适当治疗的指导策略。目前已有有效的烟草依赖治疗方法，每位患者在每次就诊时都应至少接受最低限度的治疗。这一过程的第一步——识别和评估烟草使用状况——将患者分为三种治疗类别：(1)使用烟草并愿意戒烟的患者应使用“5a”（询问、建议、评估、协助和安排）进行治疗；(2)使用烟草但此时不愿戒烟的患者应采用“5r”动机干预（相关性（Relevance）、风险（risk）、奖励（reward）、障碍（obstacle）和重复（Repetition））；(3)对近期戒烟的患者应给予预防复吸治疗。
This Quick Reference Guide for Clinicians contains strategies and recommendations from the Public Health Service-sponsored Clinical Practice Guideline, Treating Tobacco Use and Dependence. The guideline was designed to assist clinicians; smoking cessation specialists; and health care administrators, insurers, and purchasers in identifying and assessing tobacco users and in delivering effective tobacco dependence interventions. It was based on an exhaustive systematic review and analysis of the extant scientific literature from 1975-1999, and uses the results of more than 50 meta-analyses. This Quick Reference Guide summarizes the guideline strategies for providing appropriate treatments for every patient. Effective treatments for tobacco dependence now exist, and every patient should receive at least minimal treatment every time he or she visits a clinician. The first step in this process—identification and assessment of tobacco use status—separates patients into three treatment categories: (1) patients who use tobacco and are willing to quit should be treated using the “5 A’s” (Ask, Advise, Assess, Assist, and Arrange); (2) patients who use tobacco but are unwilling to quit at this time should be treated with the “5 R’s” motivational intervention (Relevance, Risks, Rewards, Roadblocks, and Repetition); and (3) patients who have recently quit using tobacco should be provided relapse prevention treatment.