"Study on the participation of nursing staff in tobacco cessation support and related influencing factors: A survey from Chongqing, China"

作者全名："Song, Jun; Chen, Yanhan; Zhang, Zhiyong; Cao, Yang; Zhang, Li"

作者地址："[Song, Jun] Chongqing Gen Hosp, Dept Ophthalmol, Chongqing, Peoples R China; [Chen, Yanhan] Chongqing Med Univ, Coll Nursing, Chongqing, Peoples R China; [Zhang, Zhiyong] Healthcare Ctr, Integrated Tradit Chinese Med & Western Med Dept, Chongqing, Peoples R China; [Zhang, Li] First Peoples Hosp, Chongqing, Peoples R China; [Zhang, Li] Chongqing Med Univ, Coll Nursing, 1 Med Coll Rd, Chongqing 400016, Peoples R China"

通信作者："Zhang, L (通讯作者)，Chongqing Med Univ, Coll Nursing, 1 Med Coll Rd, Chongqing 400016, Peoples R China."

来源：TOBACCO INDUCED DISEASES

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001087086400001

JCR分区：Q2

影响因子：2.2

年份：2023

卷号：21

期号：　

开始页：　

结束页：　

文献类型：Article

关键词："nursing intervention,; smoking cessation attitudes; about smoking cessation,; tobacco control resources; 5As"

摘要："INTRODUCTION Nursing staff's assistance for smokers to quit smoking can increase the rate of quitting. The smoking cessation help can be affected by many factors. This study surveyed the use of the 5As (Asking, Advising, Assessing, Assisting, Arranging) approach to support smoking cessation by the nursing staff in Chongqing, China, and analyzed the corresponding influencing factors. METHODS A stratified random cluster sampling method was used to select nursing staff from 8 tertiary hospitals, 5 secondary hospitals, 12 community health centers, and 35 township health centers in different geographical regions of Chongqing. A questionnaire survey was conducted among the nursing staff to investigate their participation in smoking cessation. Binary logistic regression analysis was employed to analyze the influencing factors of smoking cessation 5As behavior of the nursing staff. RESULTS The 1669 participants were 44 males (2.6%) and 1625 females (97.4%), with an average age of 37.00 +/- 10.89 years. Among the participants, 55.2% were from tertiary hospitals, 23.2% from secondary hospitals, 14.2% from township health centers, and 7.4 from community health centers. The often or always used behaviors were: Asking, 69.2%; Advising, 53.0%; Assessing, 39.5%; Assisting, 33.7%; and Arranging, 25.1%. The factors that affected all the 5As were: smoking cessation training (AOR=1.60; 95% CI: 1.22-2.11), knowledge of smoking cessation guidelines (AOR=1.75; 95% CI: 1.32-2.32) and the use of smoking cessation Apps (AOR=1.50; 95% CI: 1.09-2.06), and smokers' willingness to quit (AOR=2.20; 95% CI: 1.60-3.02). CONCLUSIONS Smoker's motivation to quit smoking and nurses' knowledge of tobacco cessation resources affected nurses' participation in smoking control behavior. While encouraging smokers to quit smoking, clinical nursing staff should be provided with related resources to advocate smoking cessation. Guided by the Chinese Clinical Tobacco Cessation Guidelines, smoking control knowledge and skills training should be provided for nursing staff to increase their positive attitude towards smoking control, so as to promote their active participation."

基金机构：FUNDING; Chongqing Social Science Planning Project [2022NDYB66]

基金资助正文：FUNDING This research was supported by Chongqing Social Science Planning Project (2022NDYB66) .