题名

腫瘤護理人員於菸害防制之角色功能

并列篇名

Oncology Nurses' Function in Tobacco Control

DOI

10.6880/TJON.201810/SP_18.03

作者

蔡琇文(Hsiu-Wen Tsai);胡嬋娟(Chan-Chuan Hu);蔡麗雲(Li-Yun Tsai);李芸湘(Yun-Hsiang Lee);郭怡君(Yi-Jiun Kuo);林珠(Chu Lin);張碧華(Pi-Hua Chang);賴裕和(Yeur-Hur Lai)

关键词

腫瘤護理人員 ; 菸害防制 ; 戒菸 ; oncology nurses ; tobacco control ; smoking cessation

期刊名称

腫瘤護理雜誌

卷期/出版年月

18卷增訂刊(2018 / 10 / 01)

页次

29 - 40

内容语文

繁體中文

中文摘要

癌症自民國71年即躍居臺灣十大死因之首,而吸菸也是引起癌症的主因之一。世界衛生組織不斷呼籲戒菸以預防癌症的發生,臺灣衛生福利部也積極推展菸害防制的工作,再者,即使是被診斷為癌症的病人也必須鼓勵戒菸,而腫瘤護理人員和癌症病人的關係最密切也最直接。因此,本文的目的乃在闡述吸菸及戒菸對癌症病人的影響、腫瘤護理人員與菸害防治的關係,同時也介紹廣被使用的戒菸指引包括5A’s指引、ABC模式以及2A+R模式,此外也從實務、教育、研究及政策方面深入討論腫瘤護理人員在協助癌症病人戒菸及預防吸菸的角色和功能。期使本文能促使腫瘤護理人員重視癌症與吸菸的相關性,增加菸害防制相關知識以及對戒菸指引的了解與運用,在各層面共同推展菸害防制於每日的臨床實務中。

英文摘要

Cancer has been the leading cause of death in Taiwan since 1982. Smoking is one of the major factors which is significantly related to cancer. The World Health Organization (WHO) has been continually promoting smoking cessation to prevent cancer. In Taiwan, the Ministry of Health and Welfare has proactively promoted tobacco control. Oncology nurses play a close role with direct function involving tobacco control and smoking cessation, even for those smokers who have been diagnosed with cancer. This paper elucidates the oncology nurses' role and functions in helping cancer patients to quit smoking and prevent smoking. In addition, widely used smoking cessation guidelines were introduced, namely the 5A's model (ask, advise, assess, assist, and arrange), ask-brief advice-cessation support (ABC) model, and ask-advise-refer (AAR) model, to improve oncology nurses' knowledge about tobacco control. In addition, this paper explores how oncology nurses implement tobacco control-related strategies from the perspectives of practice, education, research, and policy. The overall purpose of the paper is to increase oncology nurses' awareness of the relationship between cancer and smoking and improve their clinical skills in tobacco control. Thus, the improvement of tobacco control and smoking cessation knowledge and skills can help them to disseminate the knowledge and apply related guidelines and skills to implement smoking cessation at all levels of their daily clinical practice.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 內科
醫藥衛生 > 社會醫學
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