临床药剂师,药物和应急管理针对艾滋病毒诊所的吸烟:一项随机临床试验
E Jennifer Edelman1,2,3, Yanhong Deng4, James Dziura4,5
1Program in Addiction Medicine, Yale School of Medicine, New Haven, Connecticut.
JAMA network open
|February 27, 2026
概括
应急管理 (CM) 与尼古丁替代疗法 (NRT) 结合,有效地减少了艾滋病毒感染者吸烟. 添加CM的最佳时间取决于个人戒烟治疗目标.
科学领域:
- 公共卫生 公共卫生
- 临床药房 临床药房
- 成 药物 药物 药物 药物
背景情况:
- 吸烟显著增加了艾滋病毒感染者的健康风险.
- 需要强有力的战略来支持这一群体戒烟.
- 临床药剂师在治疗慢性疾病,包括吸烟障碍方面发挥着关键作用.
研究的目的:
- 确定最佳的适应性治疗策略,以减少艾滋病毒感染者吸烟.
- 评估临床药剂师提供的干预措施的有效性,结合尼古丁替代疗法 (NRT) 和应急管理 (CM).
主要方法:
- 一个连续的多重分配随机临床试验在24周内进行.
- 参与者在第一阶段接受了带有或没有CM的NRT,在第二阶段根据戒断进行了适应性治疗调整.
- 干预措施是由艾滋病毒诊所的临床药剂师提供.
主要成果:
- 与单独的NRT相比,NRT加CM在12周内显示出更高的戒断率.
- 涉及CM的自适应治疗策略显示,24周吸烟的消费率最低.
- 加强CM与切换药物的有效性因初始治疗而异.
结论:
- 应急管理是NRT的有效补充,用于艾滋病毒感染者戒烟.
- 针对CM的个性化治疗时间对于优化吸烟减少结果至关重要.
- 临床药剂师主导的干预可以改善艾滋病毒感染者的烟草相关结果.
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