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Updated: Feb 16, 2026

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理論と証拠に基づいた退院後の禁煙パイロットプログラムの実施
Hiboombe M Haamankuli1, Susan J Appel2, Christina J Ezemenaka3
1School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA hmhaaman@uab.edu.
Journal of doctoral nursing practice
|February 14, 2026
まとめ
ニコチン置換療法 (NRT) は,NRTなしと比較して,退院後2ヶ月で禁煙率を有意に増加させませんでした. しかし,両グループは,喫煙の減少と行動変化の促進に進歩を示した.
科学分野:
- 公衆衛生は公衆衛生である.
- 行動科学は,行動科学である.
背景:
- タバコの使用は健康への悪影響と関連しています.
- 入院した喫煙者は,ニコチン置換療法 (NRT) を一時的にやめることができます.
- 退院後の禁断を継続することは,ほとんどの患者にとって課題です.
研究 の 目的:
- 処方されたNRTと処方されていないNRT (nNRT) を投与された患者の退院後2ヵ月後の禁煙率を比較する.
主な方法:
- 成人喫煙者 (19~65歳) はランダムにNRTまたはnNRTを投与された.
- 主なアウトカムは,2ヶ月後に自己報告による禁煙でした.
- 二次的なアウトカムには,喫煙の減少とTTM段階の進行が含まれていました.
主要な成果:
- 2ヶ月の離脱率は,NRTでは53.8%,nNRTでは57.1% (p = .86) でした.
- NRTグループでは,nNRTグループ (8.33%) に比べて,タバコ使用の減少がより顕著であった (27.7%).
- 統計的に有意ではないが,この結果は,両群の行動変化の進展とともに臨床的有意性を示唆している.
結論:
- NRTは,nNRTと比較して,解禁後2ヶ月で統計的に有意な更なる解禁率をもたらさなかった.
- NRTとnNRTの両グループは,ポジティブな行動の変化と進歩を示しました.
- 看護師は,入院および退院中にNRTを考慮し,持続的な停止のためにTTMベースの介入で補完する必要があります.
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