提升住院病人戒菸轉介率之改善專案

A Project to Improve Inpatients Referral to a Smoking Cessation Program

林孟樺(Meng-Hua Lin) ； 陳建皓(Jian-Hao Chen) ； 陳惠蘭(Hui-Lan Chen) ； 林雅萍(Ya-Ping Lin) ； 方淑華(Shu-Hua Fang) ； 王淑貞(Shu-Chen Wang) ； 鍾惠君(Hui-Chun Chung)

《志為護理-慈濟護理雜誌》 18卷1期 (2019/02) Pp. 77-89

摘要

住院戒菸轉介的環境及機會可以提升病人戒菸轉介的意願。本院自2012年3月配合推動住院病人戒菸轉介服務，本單位為內科病房，卻沒有住院戒菸轉介成功案例，故引發動機，目標為住院病人戒菸轉介率提升至40%，專案期間從2013年12月10日至2014年4月15日，執行改善措施包含：利用「菸害人型立圖」卡通人物代言宣導、重新規劃「菸害防治護理指導單張」擺放位置、設計「住院病人戒菸轉介指引」、規劃「戒菸轉介技巧達人班」執行後，住院病人轉介率提升至78.6%。此改善專案讓護理人員在短時間內，快速評估病人戒菸轉介意願及進行戒菸衛教，成功經驗展現護理專業，可提供給致力於菸害防治及健康促進議題的先進們參考。

關鍵字

戒菸轉介 ； 戒菸 ； 住院病人

並列摘要

The readily accessible environment and opportunity for smoking cessation referral during hospitalization can improve patients' willingness to enroll in the program. In cooperation with the Ministry of Health and Welfare, our hospital has been promoting the smoking cessation referral service since March 2012. As a medical ward, our unit had no record of any successful referral, which prompted the initiation of this project. The goal of the project was to boost the rate of inpatient referral to a smoking cessation program to 40%. The project, which lasted from December 10, 2013 to April 15, 2014, implemented the following measures: Advocate the smoking cessation referral with cartoon characters, re-plan the placement of nursing instruction poster on tobacco hazard and prevention, design smoking cessation referral guide for inpatient, and plan classes on smoking cessation referral. After the measures were implemented, the referral rate improved up to 78.6%. This improvement project allowed the nursing staff to rapidly assess in a short period of time the inpatients' willingness to participate in the referral program and to receive health education on smoking cessation. The success of this project fully demonstrated the professionalism of the nursing staff, and can serve as a reference for our colleagues involved in tobacco hazard prevention and health promotion.

並列關鍵字

smoking cessation referral ； smoking cessation ； inpatients

參考文獻

蘇億玲、蔡晏平、劉錦蓉(2011)·提升冠狀動脈心臟病住院病人之戒菸率·護理雜誌，58(6)，73-81。doi:10.6224/JN.58.6.72

Azevedo, R. C., Mauro, M. L., Lima, D. D., Gaspar, K. C., da Silva, V. F., & Botega, N. J. (2010). General hospital admission as an opportunity for smoking-cessation strategies: A clinical trial in Brazil. General Hospital Psychiatry, 32 (6), 599-606. doi: 10.1016/ j.genhosppsych.2010.09.013

Rigotti, N. A., Clair, C., Munafo, M. R., & Stead, L. F. (2012). Interventions for smoking cessation in hospitalized patients. Cochrane Database of Systematic Reviews, Issue 5. Art. No.: CD001837. doi: 10.1002/14651858.CD001837.pub3

林芸安、蔡仲弘(2011)·台灣中老年男性戒菸因素之探討·臺灣公共衛生雜誌，30(1)，36-44。

衛生福利部國民健康署菸害防制資訊網(2012 年 ， 2 月 ) ·吸菸行為調查 · 取自http://tobacco.hpa.gov.tw/Show.aspx?MenuId=580