在癌症计划委员会和乳腺中心国家认证计划中,国家质量改善倡议增加戒烟援助
Tracey Pu1, Jessica L Burris2, Richard S Matulewicz3
1Department of Surgery, University of Alabama at Birmingham, Birmingham, AL.
概括
实施Beyond ASK质量改善计划显著增加了癌症患者的戒烟援助. 这个国家努力表明,将戒烟支持纳入癌症护理是可行的和有效的.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 提高质量 提高科学 提高质量
背景情况:
- 癌症诊断后戒烟可以提高生存率.
- 在癌症护理中采用基于证据的戒烟援助仍然不够理想.
- "超越ASK"倡议旨在加强癌症计划中的戒烟支持.
研究的目的:
- 评估全国性质量改善计划 (超越ASK) 对癌症患者戒烟援助的可行性和影响.
- 增加目前吸烟的癌症患者提供戒烟援助的比例.
- 评估在认可的癌症计划中采用基于证据的戒烟策略.
主要方法:
- 一个国家质量改进项目使用了计划-做-研究-行动方法在12个月 (2023年1月-2024年1月) 期间.
- 纵向调查 (n=5) 追踪了324个美国外科医生学院认可的癌症项目中的参与和结果.
- 干预措施包括教育网络研讨会,实践变革包,培训和EHR指导.
主要成果:
- 324个项目注册;300个 (92.6%) 完成了所有调查.
- 在446,015名患者中,11.8%是目前的吸烟者,其中63.7%接受戒烟援助.
- 平均戒烟援助率从48.0%增加到67.5% (P < .0001),各种援助方法都有显著的改善.
结论:
- 在癌症护理中帮助戒烟的全国性扩展是可以快速实现的.
- 超越ASK倡议为将戒烟支持纳入标准护理提供了一个成功的框架.
- 研究结果支持对所有新确诊的癌症患者广泛采用戒烟援助.
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