以護理實證應用的戒菸護理措施提升住院病人戒菸

Lin-Yu LIAO; You-Cheng CHANG; Fenju CHEN; Shunt-Chen YANG

doi:10.6224/JN.202404_71(2).09

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P70 - 80

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6224/JN

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以护理实证应用的戒菸护理措施提升住院病人戒菸

Application of Evidence-Based Smoking Cessation Nursing Interventions Increase the Quitting of Smoking in Hospitalized Patients

廖翎聿(Lin-Yu LIAO) ；张佑泟(You-Cheng CHANG) ；陈芬如(Fenju CHEN) ；杨淑珍(Shunt-Chen YANG)

护理杂志； 71 卷 2 期 (2024 / 04 / 01) ， P70 - 80

繁体中文;英文 DOI： 10.6224/JN.202404_71(2).09

戒菸；护理措施；戒菸率；护理实证； smoking cessation ； nursing intervention ； abstinence rate ； nursing evidence

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摘要 │ 参考文献 (20) │ 国际计量

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Background: The second-generation smoking cessation measures for inpatients in our hospital were provided primarily by physicians. Statistics from January to December 2019 showed a negative trend in the number of inpatient smoking cessation services and health education courses provided. Purpose: In this study, a comprehensive systematic literature review on the application of smoking cessation interventions was conducted with the goal of helping enhance the inpatient quit rate at the author's hospital. Resolution: The literature on smoking cessation interventions was reviewed, with the findings used to formulate a feasible plan for the implementation of an effective related intervention at our hospital. During the implementation process, the challenges encountered led to the formulation of strategies, including: 'conducting second-generation smoking cessation on-the-job training,' 'revising the referral process for patients taking smoking-cessation medications,' and 'adding patients who do not cease smoking to the referral process.' Data on the number of individuals attempting to quit smoking and the success rate of smoking cessation were collected. The baseline values before project implementation were compared with the values at 12 and 24-months posttest. Results: The number of individuals receiving smoking cessation services increased from 85 people within 12 months to 105 people, and further increased to 125 people by the 24th month. Comparing the 3-month abstinence rates for 2019 and 2020, an increase from 31.36% before project implementation to 42.67% after implementation was observed, indicating a rise of 11.31%. Also, comparing the 6-month abstinence rates between 2019 and 2020, an increase from 27.16% before project implementation to 42.67% after implementation was observed, indicating a rise of 15.51%. The project outcomes calculated in December 2021 show a three-month abstinence rate of 44.40% and a six-month abstinence rate of 41.82%.Conclusions: The nursing interventions for smoking cessation in this project increased the abstinence rate among inpatients. Evidence-based practices, including searching for quality research evidence, utilizing the 7A framework to bridge evidence and clinical differences, and promoting the project using a collaborative cross-team approach, were the main factors contributing to the success of the project. The evidence-based application of smoking cessation strategies highlights the significant role played by nurses in enhancing the quality of care. The findings may serve as a reference for the future development of nursing project solutions.

参考文献 ( 20 ) 〈TOP〉

陈可欣、高靖秋、陈杰峰（2016）．实证知识转译—落实科学证据於护理临床实务．护理杂志，63（6），5–11。[Chen, K.-H., Kao, C.-C., & Chen, C.-F. (2016). Evidence-based knowledge translation: From scientific evidence to clinical nursing practice. The Journal of Nursing, 63(6), 5–11.] https://doi.org/10.6224/JN.63.6.5
连结：
陈杰峰、罗恒廉、郭耿南、谭家伟（2011）．实证医学於临床之发展与应用．医疗品质杂志，5（6），24–29。[Chen, C.-F., Lo, H.-L., Kuo, K. N., & Tam, K.-W. (2011). The application of evidence-based medicine in healthcare. Journal of Healthcare Quality, 5(6), 24–29.] https://doi.org/10.30160/JHQ.201111.0005
连结：
Hartmann-Boyce, J., Chepkin, S. C., Ye, W., Bullen, C., & Lancaster, T. (2018). Nicotine replacement therapy versus control for smoking cessation. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD000146.pub5
连结：
Huang, W.-H., Hsu, H.-Y., Chang, B. C.-C., & Chang, F.-C. (2018). Factors correlated with success rate of outpatient smoking cessation services in Taiwan. International Journal of Environmental Research and Public Health, 15(6), Article 1218. https://doi.org/10.3390/ijerph15061218
连结：
Kazemzadeh, Z., Manzari, Z. S., & Pouresmail, Z. (2017). Nursing interventions for smoking cessation in hospitalized patients: A systematic review. International Nursing Review, 64(2), 263–275. https://doi.org/10.1111/inr.12320
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