专业烟草治疗在瘤学中的实施:一种定性研究
Jennifer E Bird1, Jason S Chladek2,3, Heather D'Angelo4,5
1Center for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, WI.
JCO oncology practice
|November 12, 2024
概括
在癌症护理中实施专门的烟草治疗计划可以通过培训工作人员,提供负担得起的药物和增加资源来改进. 这些策略有助于更多的癌症患者戒烟.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 国家癌症研究所 (NCI) 在2017年建立了癌症中心停止倡议 (C3I).
- C3I的目标是将烟草治疗纳入常规癌症护理,并加强治疗.
- 由烟草治疗专家 (TTS) 配备的专业护理计划是C3I的一个关键组成部分.
研究的目的:
- 在癌症护理中确定烟草治疗计划的实施策略和适应.
- 为癌症患者增强戒烟干预措施的覆盖范围和有效性.
- 在接受癌症治疗的成年患者中提高戒烟率.
主要方法:
- 在21个C3I资助的癌症中心与TTS和其他项目人员进行半结构化采访.
- 使用内容分析和实施研究综合框架 (CFI) 来进行数据编码.
- 确定了关键主题,实施策略,并根据受访者建议进行了调整.
主要成果:
- 促进计划实施需要为患者转诊提供员工培训.
- 加入没有或低成本的戒烟药物至关重要.
- 建议包括雇佣额外的员工,分配专门的程序空间,并自动化EHR工作流程.
结论:
- 改善癌症中心的烟草治疗包括根据患者需求调整治疗方式.
- 简化转诊和协调药物治疗是非常重要的.
- 承诺提供足够的人员,空间和资源可以提高计划的有效性.
- 这些方法旨在增加患者参与基于证据的戒烟计划.
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