在一般外科诊所实施戒烟干预措施
C Danielle Connor1, Brent D Matthews2, Nicole Kaiser3
1The Center for Health Systems Sciences, Atrium Health, Charlotte, North Carolina.
The Journal of surgical research
|August 3, 2025
概括
在手术诊所实施虚拟戒烟计划显示患者参与度较低. 工作流整合的挑战和患者的抵抗阻碍了成功,表明需要更好的手术前戒烟策略.
科学领域:
- 手术瘤学手术瘤学
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 吸烟显著增加了术后并发症的风险.
- 有效的手术前戒烟干预措施对于改善手术结果至关重要.
- 了解临床环境中的实施挑战对于计划的成功至关重要.
研究的目的:
- 评估一般外科诊所实施的虚拟戒烟计划的实施情况.
- 从提供者和员工的角度识别障碍物和促进者.
- 评估患者对实施方案的参与度.
主要方法:
- 一名吸烟治疗注册护士 (TTRN) 开发并实施了戒烟工作流程.
- 该计划包括最初的RN摄入量和转介给高级实践提供者.
- 评估了患者参与度,以及从工作人员焦点小组和提供者采访中获得的定性数据.
主要成果:
- 虚拟计划在3个诊所实施,持续时间为3-19个月.
- 当TTRN在实体上存在或在访问后拨打电话时,患者参与度更高.
- 关键障碍包括患者抵抗和工作流集成问题,而TTRN可用性是一个资产.
结论:
- 在外科诊所实施虚拟TTRN导致患者参与度较低.
- 工作流集成和有限的患者接受使该计划不可持续.
- 需要进一步的研究来确定手术前戒烟参与的最佳方法和时间.
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