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題名:提升冠狀動脈心臟病住院病人之戒菸率
書刊名:護理雜誌
作者:蘇億玲蔡晏平劉錦蓉
作者(外文):Su, Yi-linTsai, Yen-pingLiu, Chen-jung
出版日期:2011
卷期:58:6
頁次:頁73-81
主題關鍵詞:冠狀動脈心臟病住院病人戒菸率個案管理師Coronary artery diseaseHospitalized patientsSmoking cessation ratesCase manager
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:4
  • 點閱點閱:23
背景 : 戒菸對冠狀動脈心臟病病人而言,不但可促進其疾病之預後,且可減少猝死的危險性,故戒菸對冠狀動脈心臟病住院病人是非常重要的。 目的 : 提升冠狀動脈心臟病住院病人之六個月戒菸率達 45%以上。 解決方案 : 經現況分析後發現,冠狀動脈心臟病住院病人戒菸率非常低( 0%),故制訂戒菸個案轉介機制、建立個案管理師工作規範及追蹤流程、制訂戒菸指引、增訂戒菸護理指導單張、建置戒菸個案管理資訊系統、醫護人員菸害防制宣導教育為本專案之解決方案。 結果 : 冠狀動脈心臟病住院病人之戒菸轉介率達 100%;且六個月戒菸率達 50%。 結論 : 本專案的實施不但推動跨科部合作提升冠狀動脈心臟病住院病人戒菸率外,也發揮戒菸個案管理師之獨特功能,藉系統性地追蹤病人,達勸導戒菸的成效。
Background & Problems: Smoking cessation improves disease prognoses and decreases the risk of sudden death in patients with coronary artery disease. Purpose: This study was designed to increase the six-month smoking cessation rate to more than 45% for hospitalized patients with coronary artery disease. Resolutions: Data analysis found a current smoking cessation rate of zero percent. Strategies to raise this rate significantly included implementing a referral system, regulating case managers and follow-up procedures, providing smoking cessation guidelines, distributing patient education handouts, setting up an information system to facilitate smoking cessation case management, and implementing smoking cessation education programs for health professionals. Results: The smoking cessation referral rate increased to 100% and the six-months smoking cessation rate rose to 50%. Conclusions: This project leveraged interdisciplinary cooperation to increase the rate of smoking cessation in hospitalized patients. It also introduced the unique function of case manager who is charged with systemically following up with patients to improve the effectiveness of smoking cessation programs.
期刊論文
1.Fagerstrom, K.(2002)。The epidemiology of smoking: health consequences and benefits of cessation。Drugs,62(suppl 2),1-9。  new window
2.羅于韻、劉瑞瑤、陳振文、黃信彰(20051000)。戒菸面面觀。基層醫學,20(10),272-278。  延伸查詢new window
3.黃松元、劉俐蓉(20051000)。臺北市計程車司機工作壓力、健康促進生活方式與吸煙、飲酒、嚼檳榔行為之相關研究。中華職業醫學雜誌,12(4),203-214。  延伸查詢new window
4.林冠品、樓美玲、劉波兒(20041200)。醫護大學學生戒菸後再回復吸菸的經驗。護理雜誌,51(6),55-63。new window  延伸查詢new window
其他
1.行政院衛生署(2010)。台灣地區死因統計。  延伸查詢new window
2.國民健康局(2010)。台灣菸害防制2010年年報。  延伸查詢new window
3.謝明容、蘇志英(2003)。口腔癌患者不良嗜好之臨床分析。  延伸查詢new window
4.Abdullah, A. S., Rahman, A. S., Suen, C. W., Wing, L. S., Ling, L. W., Mei, L. Y.(2006)。Investigation of Hong Kong doctors’ current knowledge, beliefs, attitudes, confidence and practices: Implications for the treatment of tobacco dependency。  new window
5.Bolman, C., de Vries, H., & van Breukelen, G.(2002)。A minimal-contact intervention for cardiac inpatients: Long-term effects on smoking cessation。  new window
6.Critchley, J. A., & Capewell, S.(2003)。Mortality risk reduction associated with smoking cessation in patients with coronary heart disease: A systemic review。  new window
7.Eckert, T., & Junker, C.(2001)。Motivation for smoking cessation: What role do doctors play?。  new window
8.Goldenberg, I., Jonas, M., Tenebaum, A., Boyko, V., Matezky, S., Shotan, A.(2003)。Current smoking, smoking cessation, and the risk of sudden cardiac death in patients with coronary artery disease。  new window
9.Haddock, K., O’Byrne, K. K., Klesges, R. C., Talcott, W., Lando, H., & Peterson, A. L.(2000)。Relapse to smoking after basic military training in the U.S. air force。  new window
10.Ludvig, J., Miner, B., & Eisenberg, M. J.(2005)。Smoking cessation in patients with coronary artery disease。  new window
11.Rea, T. D., Heckbert, S. R., Kaplan, R. C., Smith, N. L., Lemaitre, R. N., & Psaty, B. M.(2002)。Smoking status and risk for recurrent coronary events after myocardial infarction。  new window
12.Reid, R. D., Pipe, A. L., & Quinlan, B.(2006)。Promoting smoking cessation during hospitalization for coronary artery disease。  new window
13.Whitehead, D.(2003)。Health promotion and health education viewed as symbiotic paradigms: Bridging the theory and practice gap between them。  new window
14.Wen, C. P., Levy, D. T., Cheng, T. Y., Hsu, C. C., & Tsa, S. P.(2005)。Smoking behavior in Taiwan, 2001。  new window
15.World Health Organization(2011)。WHO report on the global tobacco epidemic, 2011- Warning about the dangers of tobacco。  new window
 
 
 
 
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