培训医学学生顾问的罗切斯特模型,一个医院的烟草治疗计划
John C Grable1, Kevin Shan1, Matthew Wang1
1Department of Medicine, University of Rochester School of Medicine, Rochester, NY, USA.
Journal of multidisciplinary healthcare
|February 12, 2024
概括
医学学生可以为住院患者提供有效的烟草依赖治疗咨询. 这项低成本计划有利于患者,学生和医疗保健系统,证明了成功的患者戒烟率.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 戒烟的方法 戒烟的方法
背景情况:
- 对于住院患者来说,有效的烟草依赖治疗是具有挑战性的.
- 罗切斯特模型以前依赖于护士进行咨询,在COVID-19大流行期间面临压力.
- 护士短缺和工作压力促使人们转向将医学学生纳入患者咨询工作.
研究的目的:
- 评估培训医学学生提供烟草依赖治疗咨询的可行性和有效性.
- 评估患者的结果和学生对修订后的咨询模式的满意度.
主要方法:
- 一年级和二年级的医学学生接受了2.5小时的远程培训.
- 学生提供了床边和出院后的咨询,与纽约州退出线合作.
- 对患者的治疗结果进行了长达6个月的跟踪,包括124名患者.
主要成果:
- 89%的学生表示对培训感到满意.
- 床边咨询的信心超过了电话咨询的信心.
- 在6个月的7天流行点戒烟率为43% (在治疗中) 和14% (试图治疗).
结论:
- 医学学生,经过最低限度的培训,可以作为有效的,无成本的戒烟辅导员.
- 罗切斯特模式,利用学生辅导员,为患者,学生和医疗保健系统提供好处.
- 这种方法解决了提供持续的烟草依赖治疗的挑战.
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