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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Helping hospital patients quit: what the evidence supports and what guidelines recommend.
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Helping hospital patients quit: what the evidence supports and what guidelines recommend.

机译：帮助医院患者戒烟：证据支持什么以及指南建议如何。

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摘要

OBJECTIVE: The study aimed to critically appraise the extent and strength of systematic review evidence for, and guideline recommendations regarding hospital smoking cessation interventions. METHODS: Systematic reviews of smoking cessation interventions were identified via an electronic search of the Cochrane Library. Meta-analyses from Cochrane reviews were categorised as those that incorporated only studies of hospital based interventions, and those which incorporated interventions which were not hospital based. Smoking cessation guidelines for hospital health professionals were identified via a search of the World Wide Web. RESULTS: The review found that evidence from meta-analyses restricted to hospital studies was insufficient to evaluate a number of specific intervention strategies and at times conflicted with the findings of meta-analyses without such restrictions. The majority of guidelines recommended the provision of brief advice, counseling, nicotine replacement therapy despite the absence of clear supporting evidence. CONCLUSIONS: Further hospital-based research addressing specific cessation strategies is required. Furthermore, smoking cessation guidelines for hospital based health professionals should more specifically reflect evidence from this setting.
机译：目的：该研究旨在严格评估系统评价证据的范围和强度，并就医院戒烟干预措施提供指导性建议。方法：通过电子检索Cochrane图书馆确定了戒烟干预措施的系统评价。来自Cochrane评价的荟萃分析被归类为仅纳入基于医院干预措施的研究的荟萃分析，以及纳入非医院干预措施的荟萃分析。通过搜索互联网确定了医院卫生专业人员的戒烟指南。结果：审查发现，仅限于医院研究的荟萃分析的证据不足以评估许多具体的干预策略，有时与没有此类限制的荟萃分析的发现相矛盾。尽管缺乏明确的支持证据，大多数指南仍建议提供简短的建议，咨询，尼古丁替代疗法。结论：需要针对特定​​戒烟策略的进一步医院研究。此外，针对医院卫生专业人员的戒烟指南应更具体地反映出这种情况的证据。

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