如何改善孕妇戒烟的支持? 在荷兰实施指导方针
Stella Weiland1,2,3, Danielle E M C Jansen1,4, Gera A Welker5
1Department of Primary and Long-Term Care, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.
对孕妇实施戒烟支持的推率很低,成功戒烟的比例很小. 提高沟通和培训的动机面试可以提高未来的干预措施.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 成 药物 药物 药物 药物
背景情况:
- 荷兰关于治疗孕妇吸烟成的指导方针需要有效的实施策略.
- 产妇护理机构对于为孕妇提供戒烟支持至关重要.
研究的目的:
- 制定和评估实施计划,以制定关于在荷兰为孕妇提供戒烟支持的指南.
- 评估干预措施在产妇协作单位的覆盖范围,有效性,采用,实施和维持.
主要方法:
- 参与式行动研究被用于计划制定和评估.
- 使用了一种混合方法方法,包括覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架.
- 数据通过推统计,指导轨迹数据以及采访和重点小组的定性见解来收集数据.
主要成果:
- 只有42%的助产士诊所和40%的产科部门将孕妇吸烟者转介给成治疗顾问.
- 在558名孕妇吸烟者中,有13%被转诊,10%开始接受辅导,25%完成辅导后成功戒烟.
- 确定了转诊方面的挑战,强调了医疗保健提供者与孕妇之间的沟通的重要性.
结论:
- 目前为孕妇提供戒烟支持的实施有限,推和戒烟率低.
- 建议加强实施策略,如重复努力和提高孕产妇护理专业人员的激励面试技巧.
- 提高干预有效性的建议包括将咨询与尼古丁替代疗法,反或激励相结合.
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