Perceptions and practices of Japanese nurses regarding tobacco intervention for cancer patients.
Perceptions and practices of Japanese nurses regarding tobacco intervention for cancer patients.
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DOI：
10.2188/jea.je20110008
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发表时间：
2011
影响因子：
4.7
通讯作者：
Tanaka H
中科院分区：
文献类型：
--
作者：
Taniguchi C;Hibino F;Kawaguchi E;Maruguchi M;Tokunaga N;Saka H;Oze I;Ito H;Hiraki A;Nakamura S;Tanaka H
我们调查了护士对烟草干预的看法和做法，因为改善这种做法对吸烟患者的管理非常重要。由医院管理部门对3所肿瘤医院和3所综合医院的2676名护理人员进行自填式问卷调查。其中，2215人（82.8%）作出了答复。大多数护士强烈同意，癌症患者术前或早期临床阶段的癌症，但继续吸烟，应提供烟草使用干预。相比之下，他们认为不太需要为吸烟的无法治愈的癌症患者提供烟草使用干预。大多数护士认为，尽管他们评估并记录了癌症患者的烟草状况，但他们在提供戒烟建议、评估患者戒烟准备情况以及提供有关烟草使用有害影响的个性化信息方面并不成功。在多变量分析中，在护理学校期间接受戒烟计划指导的护士更有可能提供戒烟建议（优势比，1.61; 95%置信区间，1.15-2.26），评估戒烟准备情况（1.73，1.09-2.75），并提供个性化的解释烟草的有害影响（1.94，1.39-2.69），与没有接受过这种指导的护士相比。日本护士对癌症患者烟草干预的看法因患者治疗状况和预后而存在很大差异。研究结果强调了向日本护理学校的学生提供适当戒烟指导的重要性。
We investigated the perceptions and practices regarding tobacco intervention among nurses, as improvement of such practices is important for the management of patients who smoke. Self-administered questionnaires were delivered by hospital administrative sections for nursing staff to 2676 nurses who were working in 3 cancer hospitals and 3 general hospitals. Of these, 2215 (82.8%) responded. Most nurses strongly agreed that cancer patients who had preoperative or early-clinical-stage cancer but continued to smoke should be offered a tobacco use intervention. In contrast, they felt less need to provide tobacco use intervention to patients with incurable cancer who smoked. Most nurses felt that although they assessed and documented the tobacco status of cancer patients, they were not successful in providing cessation advice, assessing patient readiness to quit, and providing individualized information on the harmful effects of tobacco use. In multivariate analysis, nurses who received instruction on smoking cessation programs during nursing school were more likely to give cessation advice (odds ratio, 1.61; 95% confidence interval, 1.15–2.26), assess readiness to quit (1.73, 1.09–2.75), and offer individualized explanations of the harmful effects of tobacco (1.94, 1.39–2.69), as compared with nurses who had not received such instruction. The perceptions of Japanese nurses regarding tobacco intervention for cancer patients differed greatly by patient treatment status and prognosis. The findings highlight the importance of offering appropriate instruction on smoking cessation to students in nursing schools in Japan.