吸烟和家庭氧气疗法:来自瑞典多学科工作组的审查和共识声明
Zainab Ahmadi1, Joar Björk2,3, Hans Gilljam4
1Department of Clinical Sciences Lund, Respiratory Medicine, Allergology and Palliative Medicine, Lund University, Lund, Sweden zai.ahmd@gmail.com.
概括
家庭氧气疗法 (HOT) 可以改善呼吸系统患者的生存率. 瑞典工作组通过HOT审查了吸烟的风险和益处,为医疗保健专业人员提出了一种系统的方法.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
背景情况:
- 家庭氧气疗法 (HOT) 提高了缺血性慢性呼吸道疾病患者的生存率.
- 吸烟者占HOT候选人的很大一部分,由于氧气的可燃性,造成火灾风险.
- 国际上关于吸烟作为HOT的禁忌的政策各不相同,需要进行审查.
研究的目的:
- 在接受HOT治疗的患者中全面审查吸烟的医疗,实践,法律和伦理方面的考虑.
- 解决有关吸烟和HOT资格的现行做法和政策的变化.
- 制定基于证据的建议,用于管理被考虑为HOT的吸烟患者.
主要方法:
- 一个多学科的瑞典工作组,包括呼吸系统医学,护理,法律和伦理专家,进行了审查.
- 工作组使用一般和PICO问题分析了HOT的有效性,吸烟相关的风险以及实际/法律/道德方面的问题.
- 建议使用GRADE方法进行分级,以评估其强度.
主要成果:
- 审查产生了评估,管理和跟进符合HOT的吸烟患者的建议.
- 提供关于向继续吸烟的符合条件的患者提供HOT的指导,以及要求的戒烟时间.
- 确定了关于吸烟和HOT未来研究的关键领域.
结论:
- 在活跃吸烟者中评估HOT的益处/风险需要考虑多个因素.
- 建议采用系统方法来指导医疗保健专业人员管理吸烟患者的HOT.
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