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首页> 外文期刊>The Journal of cardiovascular nursing >Smoking cessation treatment practices: Recommendations for improved adoption on cardiology wards
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Smoking cessation treatment practices: Recommendations for improved adoption on cardiology wards

机译：戒烟治疗实践：改善心脏病科病房采用率的建议

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BACKGROUND AND OBJECTIVES:: Smoking cessation treatment practices described by the 5 A's (ask, advise, assess, assist, arrange) are not well applied at cardiology wards because of various reasons, such as a lack of time and appropriate skills of the nursing staff. Therefore, a simplified guideline proposing an ask-advise-refer (AAR) strategy was introduced in Dutch cardiac wards. This study aimed to identify factors that determine the intentions of cardiac ward heads in adopting the simplified AAR guideline, as ward heads are key decision makers in the adoption of new guidelines. Ward heads' perceptions of current smoking cessation practices at the cardiac ward were also investigated. METHODS:: A cross-sectional survey with written questionnaires was conducted among heads of cardiology wards throughout the Netherlands, of whom 117 (64%) responded. RESULTS:: According to the heads of cardiac wards, smoking cessation practices by cardiologists and nurses were mostly limited to brief practices that are easy to conduct. Only a minority offered intensive counseling or arranged follow-up contact. Heads with strong intentions of adopting the AAR guideline differed significantly on motivational and organizational attributes and perceived more smoking cessation assistance by other health professionals than did heads with weak intentions of adopting. Positive attitudes, social support toward adoption, and perception of much assistance at the ward were significantly associated with increased intentions to adopt the AAR guideline. CONCLUSIONS:: Brief smoking cessation practices are adequately performed at cardiac wards, but the most effective practices, offering assistance and arranging for follow-up, are less than optimal. The AAR guideline offers a more feasible approach for busy cardiology wards. To ensure successful adoption of this guideline, the heads of cardiac wards should be convinced of its advantages and be encouraged by a supportive work environment. Policies may also facilitate the adoption of the AAR guideline.
机译：背景和目的：由于各种原因，例如缺乏时间和护理人员的适当技能，5A所描述的戒烟治疗做法（询问，建议，评估，协助，安排）在心脏病科病房中并不适用。 。因此，在荷兰心脏病房中引入了简化的建议提出建议-咨询-推荐（AAR）策略的指南。这项研究旨在确定决定采用简化AAR指南的心脏病房主管的意图的因素，因为病房主管是采用新指南的关键决策者。还调查了病房主管对心脏病房当前戒烟习惯的看法。方法：在荷兰各地的心脏病科负责人中进行了书面问卷的横断面调查，其中117人（占64％）做出了回应。结果：：据心脏病房负责人介绍，心脏病专家和护士的戒烟习惯大多仅限于易于实施的简短戒烟。只有少数人提供了强化咨询或安排了后续联系。强烈希望采用AAR指南的负责人在动机和组织属性上存在很大差异，并且与其他较弱的采纳意愿的负责人相比，其他卫生专业人员对吸烟的帮助更大。积极的态度，对收养的社会支持以及对病房的大量援助的感知与采用AAR指南的意愿增加密切相关。结论：在心脏病房适当地进行了简短的戒烟实践，但是提供帮助和安排随访的最有效的实践并不是最佳选择。 AAR指南为心脏病专科病房提供了一种更可行的方法。为确保成功采用本指南，心脏科病房负责人应确信其优势，并应在支持性工作环境中予以鼓励。政策还可以促进AAR准则的采用。

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