儿童诊所的吸烟咨询:重新思考吸烟工具包
Paul T Harrell1,2,3,4,5,6,7, Ann L Edwards1,2,3,4,5,6,7, Natasha K Sriraman1,2,3,4,5,6,7
1Dr. Harrell: Associate Professor, Pediatrics, Macon & Joan Brock Virginia Health Sciences at Old Dominion University, Norfolk, VA.
The Journal of continuing education in the health professions
|August 25, 2025
概括
儿童医疗服务提供者接受了针对青少年电子烟的培训和资源, 显著增加了他们的信心和青少年访问期间预防教育的频率. 这项倡议成功推动了青少年电子烟风险的查和指导.
科学领域:
- 儿童健康
- 青少年医学
- 公共卫生干预措施
背景情况:
- 青少年吸烟 (电子烟) 是一个重大的公共卫生问题,中高中生每天使用率很高.
- 儿童医疗实践在处理物质使用方面发挥着至关重要的作用,但提供者在与年轻患者讨论电子烟时经常面临挑战.
研究的目的:
- 加强儿童诊所的电子烟查和预防教育.
- 提高医疗保健提供者对青少年电子烟的舒适性和知识.
- 对提供者进行有针对性的教育干预的有效性进行评估.
主要方法:
- 提供者培训模块的开发,包括讨论点,计费代码和定制资源.
- 对32个提供者进行前后调查,评估与青少年电子烟相关的知识,舒适性,障碍和做法.
- 关键信息人采访 (N=20) 确定整合风险咨询的障碍和解决方案.
- 在部门总结中提供持续质量改善 (CQI) 会议和监测电子烟信息.
主要成果:
- 干预后医生报告的障碍 (缺乏知识,资源,舒适性,患者抵抗力) 显著减少.
- 时间限制仍然是预防咨询的主要障碍.
- 医生自报提供电子烟预防信息的频率从9%增加到50%.
- 平均每月的电子烟资源供应量从1个增加到94个单位.
结论:
- 针对性培训和资源有效提高了医生在处理青少年电子烟方面的知识和信心.
- 这项干预措施显著增加了青少年电子烟查和预防指导的频率.
- 这种教育方法可以帮助儿童更好地管理青少年的电子烟风险.
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