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首页> 外文期刊>Journal of substance abuse treatment >Smoking cessation care provision in Australian alcohol and other drug treatment services: A cross-sectional survey of staff self-reported practices
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Smoking cessation care provision in Australian alcohol and other drug treatment services: A cross-sectional survey of staff self-reported practices

机译：澳大利亚酒精和其他药物治疗服务中的吸烟戒烟提供：对员工自我报告的实践的横断面调查

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Abstract Introduction Clinical practice guidelines recommend alcohol and other drug (AOD) services assess client's smoking status and offer smoking cessation care (SCC) to all smokers. The aim of this study was to examine Australian AOD program staff report of recommended SCC practices: assessment and recording of smoking status; and the provision of 9 types of SCC. The study also assessed how the decision to provide SCC is made and the AOD program service and AOD staff characteristics associated with the provision of SCC. Methods Between July–October 2014, treatment staff from 31 Australian AOD services participated in an online cross-sectional survey. In addition, a site contact at each service was interviewed to gather service related data. Results Overall, 362 AOD program staff participated (response rate = 57%) and 62% estimated that client smoking status was recorded for the “majority or all” of their clients. About a third (33%) reported that they “always” provide verbal advice to their clients to quit smoking, 18% “always” offered free or subsidized NRT and 16% “always” followed-up to check on client quit progress. Thirty percent reported that the decision to provide SCC was made on a client by client basis and 26% offered SCC only when the client requested assistance. Government-managed services, age and gender of AOD program staff were significantly associated with the provision of SCC. Conclusion Most AOD program staff report that smoking status is recorded for the majority of their clients however, the frequency with which SCC practices are delivered is low and the decision to provide care is arbitrary. Highlights ? Addiction staff play an integral role in treating client tobacco smoking. ? Staff estimate a high proportion of clients have their smoking status assessed. ? Low to no provision of smoking cessation medicines & referral to smoking services ? Low provision of verbal advice, written information & nicotine replacement therapy ? Sector, age and gender of staff are associated with greater odds of providing care.
机译：摘要介绍临床实践指南推荐酒精和其他药物（AOD）服务评估客户的吸烟状态，并为所有吸烟者提供吸烟停止护理（SCC）。本研究的目的是检查澳大利亚AOD计划人员报告推荐的SCC实践：评估和录制吸烟地位;并提供9种SCC。该研究还评估了如何制定提供SCC的决定以及与提供SCC相关的AOD计划服务和AOD员工特征。方法于2014年7月至10月至10月，澳大利亚AOD服务的治疗人员参加了在线横断面调查。此外，每个服务的网站联系人都接受了采访，收集相关数据。结果总体而言，362 AOD计划人员参与（响应率= 57％），62％估计客户吸烟状态被记录为其客户的“大多数或全部”。大约三分之一（33％）报告说，他们“总是”向客户提供口头建议，以戒烟，18％“总是”免费或补贴NRT和16％“始终”随访，以检查客户戒烟进度。 30％的百分比报告说，通过客户的基础向客户提供的决定，只有在客户要求援助时才会提供26％的SCC。 AOD计划人员的政府管理服务，年龄和性别与提供SCC有关。结论大多数AOD计划工作人员报告说，吸烟状态为大多数客户记录，SCC实践的交付频率低，决定提供护理是任意的。强调 ？成瘾人员在处理客户烟草吸烟方面发挥积分作用。还员工估计大部分客户的吸烟状态评估。还低至不提供吸烟药物＆amp;转诊到吸烟服务？低提供口头咨询，书面信息＆amp;尼古丁替代疗法？部门，年龄和性别的工作人员都与提供护理的更大可能性有关。

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