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戒烟线护士在提供基于电话的戒烟服务方面的经验有助于心理健康患者:一项混合方法研究

Nathália Rosa^1,2, Ariadna Feliu^1,3,4, Montse Ballbè^1,3,4,5

¹Tobacco Control Unit, Cancer Control and Prevention Program, Institut Català d'Oncologia-ICO, Barcelona, Spain.

Journal of psychiatric and mental health nursing

|January 30, 2024

概括

培训提高了戒烟线护士的知识和动力,以帮助心理健康患者戒烟. 然而,患者参与和提供者信任方面的挑战凸显了减少非专业专业人员在提供戒烟干预措施方面的障碍的必要性.

科学领域:

公共卫生公共卫生
行为科学行为科学
医疗保健专业培训医疗保健专业培训

背景情况:

戒烟线是有效的戒烟工具,即使对于患有精神健康问题的个人来说,一个吸烟率很高的人群 (40-75%).
戒烟线上的医疗保健专业人员往往缺乏专门的培训和资源,无法充分支持患有心理健康障碍的吸烟者.
制定有针对性的培训计划对于提高退出线专业人员协助这个弱势群体的能力至关重要.

研究的目的:

评估针对严重精神健康障碍的个体进行主动电话戒烟干预的有效性.
评估非心理健康专业护士知识和准备能力的变化,以在培训后治疗患有精神疾病的吸烟者.
为了确定护士在向这一群体提供戒烟干预措施时所感知的促进者和障碍.

主要方法:

一个务实的随机对照试验 ("061 QUIT-MENTAL研究") 涉及主动的基于电话的干预.
混合方法方法:对护士的知识,自我效能和意见进行前后评估,并通过深入采访进行补充.
专注于培训非精神病学专业护士,以提供基于证据的戒烟干预措施.

主要成果:

培训显著提高了护士对心理和药理资源的知识,并提高了他们的动机面试技巧.
护士们报告说,在进行干预方面遇到了相当大的困难,包括患者可及性和参与度方面的挑战.
尽管接受过培训,但护士们对自己能够帮助患有精神疾病的人戒烟的能力表示不确定.

结论:

虽然培训提高了护士的能力,但在为心理健康患者提供基于电话的戒烟支持方面,实际实施障碍仍然存在.
减少与提供者相关的障碍,尽量减少耻辱感,并促进与心理健康专家的合作,对于成功的退出线干预至关重要.
需要创新的方法来有效地解决精神疾病患者的烟草相关疾病,通过社区级服务,如戒烟线.

关键词:

提供健康服务的医疗服务.基于心态化的治疗技能培训培训.定性方法定性方法定性方法烟草烟草的烟草烟草是什么

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