SPIN-IT和戒烟:一个由护士驱动的协议,以改善吸烟障碍住院患者的干预
1James T. DeMarco, DNP, RN, NEA-BC, George Mason University, Fairfax, VA, USA.
Journal of the American Psychiatric Nurses Association
|February 14, 2025
概括
一个由护士驱动的协议显著改善了精神病医院住院患者的烟草使用障碍治疗遵从性. 这种方法提高了患者的护理和坚持基于证据的干预措施.
科学领域:
- 精神病学护理 精神病学护理
- 成 药物 药物 药物 药物
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 烟草吸烟是可预防死亡的主要原因之一,尤其在患有精神健康障碍 (MHD) 的人群中普遍存在.
- 尽管有监管努力,精神病医院住院治疗的烟草使用障碍 (TUD) 治疗的遵守仍然不够理想.
- 基于证据的TUD干预措施对于改善这种脆弱人群中的患者结果至关重要.
研究的目的:
- 通过护士驱动干预和教学 (SPIN-IT) 协议评估住院患者吸烟治疗协议的有效性.
- 评估护士驱动的TUD治疗方案对在住院精神病学单位遵守基于证据的干预措施的影响.
- 确定SPIN-IT协议是否改善了提供和利用TUD咨询和药物的情况.
主要方法:
- 在一个有20张床位的住院精神病房中实施了SPIN-IT协议,授权注册护士 (RN) 提供TUD咨询和处方尼古丁替代药物.
- 关于CMS烟草措施 (TOB-2和TOB-2a) 合规性的数据收集了干预前和后12个月的数据.
- 进行了统计分析,以确定合规率变化的意义.
主要成果:
- 干预后对TOB-2的遵守率显著增加,从84.7%增加到99.3% (p < .001).
- 符合TOB-2a的比例显著上升,从24%上升到56% (p < .001).
- 该SPIN-IT协议导致更多的患者接受TUD治疗咨询和药物治疗.
结论:
- 由护士驱动的SPIN-IT协议显著提高了在住院精神病学环境中的TUD治疗遵守性.
- 这个模型证明了赋予护士权力以改善患者的治疗结果和遵守TUD治疗措施的有效性.
- 建议进行进一步的研究,以探索长期的TUD治疗影响和利益相关者的看法.
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