在NHS初级牙科护理中提供戒烟干预措施 - 从ENHANCE-D试验中吸取教训
Anthony Weke1, Richard D Holmes2, Elaine McColl3
1School of Dental Sciences, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK; Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK; Newcastle Clinical Trials Unit, Newcastle University, Newcastle Upon Tyne, UK.
British dental journal
|September 20, 2024
概括
牙科团队可以通过尼古丁替代疗法 (NRT),电子烟 (EC) 或简短的建议帮助患者戒烟. 患者的看法和实践时间压力是成功实施这些戒烟干预措施的关键因素.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 吸烟仍然是英国健康差异的一个重要原因.
- 该ENHANCE-D试验调查了NHS初级牙科护理中的戒烟干预措施.
- 了解这些干预措施的采用因素对于实施至关重要.
研究的目的:
- 探索影响吸烟戒烟干预措施 (NRT,EC,非常简短的建议) 在初级牙科护理机构采用的因素.
- 从患者,牙科专业人员和专员的角度确定实施这些干预措施的促进者和障碍.
- 为成功地将戒烟支持融入日常牙科实践提供信息.
主要方法:
- 采用半结构面试对牙科患者,专业人员和委托人的定性研究.
- 有目的的最大变异抽样确保了多样化的参与者招募 (24名患者,12名专业人员,3名专员).
- 用规范化过程理论作为分析框架进行了专题分析.
主要成果:
- 牙科设置被视为适合提供戒烟干预措施.
- 确定了患者对NRT和EC的激励因素,消极因素和偏见.
- 财务考虑和牙科实践时间压力分别成为重大影响因素和障碍因素.
- 采购和供应链管理等实际方面需要注意日常实施.
结论:
- 初级牙科护理专业人员处于提供戒烟支持的良好位置.
- 成功实施需要通过战略变革解决已识别的促进因素和威因素.
- 这些干预措施的整合需要对患者因素,财务激励和运营物流进行仔细规划.
相关概念视频
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.7K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.7K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
01:30Asthma-IV: Nursing Management
3.0K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.0K
01:18Drug Delivery: Enteral Route
389
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
389
01:20Lifestyle Factors and Health
38
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
38
01:30Preventive Healthcare Services
973
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
973