住院治疗是否错过了在戒烟方面干预的机会?
Ellen M Nielsen1, Jingwen Zhang1, Justin Marsden1
1Department of Medicine, Medical University of South Carolina, Charleston, SC, United States.
住院增加了吸烟者接受尼古丁替代疗法 (NRT) 处方的可能性. 然而,大多数住院的吸烟者没有接受NRT,这凸显了烟草戒断干预的错失机会.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 烟草使用在美国仍然很普遍,导致严重的发病率和死亡率.
- 尼古丁替代疗法 (NRT) 是戒烟的有效工具.
- 住院治疗为解决烟草使用问题和促进戒烟提供了一个关键的机会.
研究的目的:
- 评估成年吸烟者接受NRT处方的比例.
- 为了确定住院是否与接受NRT处方有关.
- 确定在住院吸烟者处方NRT错过的机会.
主要方法:
- 成年吸烟者的回顾性队列研究 (2012-2021) 在医院.
- 对NRT处方率的分析.
- 后勤回归用于评估住院和NRT接收之间的关联.
主要成果:
- 29%的确诊吸烟者至少接受了一份NRT处方.
- 住院治疗与获得NRT处方的更高几率有关 (OR 1.68).
- 58%的住院吸烟者从未接受过NRT处方;只有5%在出院期间或出院后接受过NRT处方.
结论:
- 大多数住院吸烟者没有获得NRT处方,尽管住院增加了处方几率.
- 住院治疗是吸烟戒断干预的未充分利用的"教导时刻".
- 初级保健医生和医院医生应该在住院期间和之后加强NRT的处方.
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