实施电子烟作为怀孕期间戒烟的替代工具:在英国两个地点的过程评估
Eleanor Lutman-White1, Riya Patel1,2, Deborah Lycett1
1Centre for Healthcare and Communities, Coventry University, Coventry CV1 5RW, UK.
针对孕妇吸烟者的电子烟试点显示出有希望的戒烟率,其中36.3%的人实现了有效的戒烟. 实施促进者包括定期沟通和家庭访问,而障碍则涉及资源限制和治疗不一致.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 成 药物 药物 药物 药物
背景情况:
- 怀孕期间吸烟对母亲和胎儿的健康构成重大风险.
- 电子烟的使用量正在增加,这可能是戒烟的潜在工具.
- 关于在孕妇中使用电子烟戒烟的研究有限.
研究的目的:
- 评估两项针对孕妇的电子烟试点计划的交付和实施情况.
- 确定电子烟试点计划实施的促进者和障碍者.
- 评估使用电子烟的孕妇的入学,参与和戒烟结果.
主要方法:
- 实施了两项电子烟试点计划,收集了关于推,入学,参与和结果的数据.
- 半结构面试与参与一个试点的七名专业人士进行了半结构面试.
- 采访成绩单使用实施研究综合框架 (CFIR) 进行分析.
主要成果:
- 在296名女性中,有124名女性至少接受过一次诊所检查.
- 在两个试点中报告了45个 (36.3%) 验证的戒烟率 (试点1: 32.3%,试点2: 52%).
- 促进者包括定期沟通和家庭访问;障碍包括资源限制和治疗不一致.
结论:
- 电子烟试点在孕妇中显示出注册率和显著的戒烟率.
- 实施挑战与人员资源和计划整合有关.
- 适应,包括增加资源和调整规定,是成功扩大规模的必要条件.
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