在路易斯安那州社区药房实施的建议吸烟者接受电话戒烟服务的初步研究（九月）
2010/09/14
摘要
背景：鉴于存在较高比率的烟草依赖，路易斯安那州正在寻找经济、有效的方法以辅助患者进行戒烟。社区药师，由于能正面接触患者，其职业特点表明这些药师有助于促进戒烟。“询问-建议-转诊”模式是一个短期干预措施，在该模式下，寻求戒烟的患者可以接受免费的戒烟电话咨询服务。
目的：评价在路易斯安那州药房实施“询问-建议-转诊”模式的有效性，寻找药师在鉴别和转诊合适患者中遇到的障碍。
方法：全州选取9名药师，在其所在药房实施该“询问-建议-转诊”模式。每名药师每周上交一份计数单，包括询问有关烟草依赖的患者人数、不打算戒烟的人数、进行电话戒烟咨询的人数、研究入选人数以及戒烟干预所用时间。此外，研究结束后这些药师还要完成自填式问卷调查，了解药师对实施该项目所遇到障碍的有关意见。
结果：在6个月的研究期内，9名药师询问了5429名患者有关烟草依赖的情况。在657名自认为有烟草依赖的患者中，478名（72.8％）不准备戒烟，179名（27.2％）表示在未来30天内打算戒烟。在准备戒烟的患者中，169名（94.4％）进行了电话咨询辅助戒烟。
结论：路易斯安那州社区药师有能力筛选和鉴别愿意戒烟的烟草依赖患者，但大部分患者在进行免费戒烟咨询的过程中仍然存在一些障碍。
(林江涛 审校)
Ann Pharmacother. 2010 Jul 13. [Epub ahead of print]
Implementing a Referral to Telephone Tobacco Cessation Services in Louisiana Community Pharmacies: A Pilot Study (September)
Baggarly SA, Jenkins TL, Biglane GC, Smith GW, Smith CM, Blaylock BL.
Department of Clinical & Administrative Sciences, College of Pharmacy, University of Louisiana-Monroe, Monroe, LA.
Abstract
BACKGROUND: With one of the highest rates of tobacco dependence in the nation, Louisiana has been searching for economical and effective methods for assisting patients in cessation efforts. Community pharmacists are in an excellent position to promote tobacco cessation due to their availability to patients. The "Ask-Advise-Refer" model is a short intervention in which patients desiring to quit smoking are referred to free tobacco cessation telephone counseling services.
BJECTIVE: To evaluate the implementation of the Ask-Advise-Refer model in a sample of Louisiana pharmacies and identify barriers experienced by pharmacists when identifying and referring appropriate patients.
METHODS: Nine pharmacists from across the state implemented the Ask-Advise- Refer model in their community pharmacies. Each pharmacist submitted a weekly tally sheet consisting of number of patients asked about tobacco dependence, number of patients not ready to quit, number referred to tobacco cessation telephone counseling, number enrolled in study, and amount of time involved with interventions. Additionally, participating pharmacists completed a self-administered survey at the completion of the pilot study to determine opinions on barriers to widespread implementation of the program.
RESULTS: Over a 6-month period, the 9 pharmacists asked 5429 patients about tobacco dependence. Of the 657 self-identified tobacco-dependent patients, 478 (72.8%) were not ready to quit, and 179 (27.2%) indicated that they were ready to quit tobacco in the next 30 days. Of the patients ready to quit, 169 (94.4%) were referred to telephone counseling services to assist in their cessation efforts.
CONCLUSIONS: Louisiana community pharmacists have the ability to screen and identify tobacco-dependent patients ready to quit tobacco use, but barriers exist that prevent a large number of these patients from being referred to available, free cessation counseling.
Ann Pharmacother. 2010 Jul 13. [Epub ahead of print]
背景：鉴于存在较高比率的烟草依赖，路易斯安那州正在寻找经济、有效的方法以辅助患者进行戒烟。社区药师，由于能正面接触患者，其职业特点表明这些药师有助于促进戒烟。“询问-建议-转诊”模式是一个短期干预措施，在该模式下，寻求戒烟的患者可以接受免费的戒烟电话咨询服务。
目的：评价在路易斯安那州药房实施“询问-建议-转诊”模式的有效性，寻找药师在鉴别和转诊合适患者中遇到的障碍。
方法：全州选取9名药师，在其所在药房实施该“询问-建议-转诊”模式。每名药师每周上交一份计数单，包括询问有关烟草依赖的患者人数、不打算戒烟的人数、进行电话戒烟咨询的人数、研究入选人数以及戒烟干预所用时间。此外，研究结束后这些药师还要完成自填式问卷调查，了解药师对实施该项目所遇到障碍的有关意见。
结果：在6个月的研究期内，9名药师询问了5429名患者有关烟草依赖的情况。在657名自认为有烟草依赖的患者中，478名（72.8％）不准备戒烟，179名（27.2％）表示在未来30天内打算戒烟。在准备戒烟的患者中，169名（94.4％）进行了电话咨询辅助戒烟。
结论：路易斯安那州社区药师有能力筛选和鉴别愿意戒烟的烟草依赖患者，但大部分患者在进行免费戒烟咨询的过程中仍然存在一些障碍。
(林江涛 审校)
Ann Pharmacother. 2010 Jul 13. [Epub ahead of print]
Implementing a Referral to Telephone Tobacco Cessation Services in Louisiana Community Pharmacies: A Pilot Study (September)
Baggarly SA, Jenkins TL, Biglane GC, Smith GW, Smith CM, Blaylock BL.
Department of Clinical & Administrative Sciences, College of Pharmacy, University of Louisiana-Monroe, Monroe, LA.
Abstract
BACKGROUND: With one of the highest rates of tobacco dependence in the nation, Louisiana has been searching for economical and effective methods for assisting patients in cessation efforts. Community pharmacists are in an excellent position to promote tobacco cessation due to their availability to patients. The "Ask-Advise-Refer" model is a short intervention in which patients desiring to quit smoking are referred to free tobacco cessation telephone counseling services.
BJECTIVE: To evaluate the implementation of the Ask-Advise-Refer model in a sample of Louisiana pharmacies and identify barriers experienced by pharmacists when identifying and referring appropriate patients.
METHODS: Nine pharmacists from across the state implemented the Ask-Advise- Refer model in their community pharmacies. Each pharmacist submitted a weekly tally sheet consisting of number of patients asked about tobacco dependence, number of patients not ready to quit, number referred to tobacco cessation telephone counseling, number enrolled in study, and amount of time involved with interventions. Additionally, participating pharmacists completed a self-administered survey at the completion of the pilot study to determine opinions on barriers to widespread implementation of the program.
RESULTS: Over a 6-month period, the 9 pharmacists asked 5429 patients about tobacco dependence. Of the 657 self-identified tobacco-dependent patients, 478 (72.8%) were not ready to quit, and 179 (27.2%) indicated that they were ready to quit tobacco in the next 30 days. Of the patients ready to quit, 169 (94.4%) were referred to telephone counseling services to assist in their cessation efforts.
CONCLUSIONS: Louisiana community pharmacists have the ability to screen and identify tobacco-dependent patients ready to quit tobacco use, but barriers exist that prevent a large number of these patients from being referred to available, free cessation counseling.
Ann Pharmacother. 2010 Jul 13. [Epub ahead of print]
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在戒烟机构中，影响接受戒烟服务的结构性和文化性障碍
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肺癌筛查和戒烟：来自于荷兰-比利时肺癌筛查随机对照试验中2年的随访数据
