An Evidence-based Protocol for Smoking Cessation for Persons with Psychotic Disorders

作者：Morrison Kim N^*; Naegle Madeline A

来源：Journal of Addictions Nursing, 2010, 21(2-3): 79-86.

DOI：10.3109/10884602.2010.481505

• Smoking Cessation
• Evidence-based Practice
• Protocol
• Motivational Interviewing
• Contingency Management
• Nicotine Dependence
• Addiction
• Co-occurring Disorders

Consequences of the use of tobacco products claim the lives of 443,000 Americans and 5.4 million persons worldwide every year. Persons with diagnosed psychiatric illnesses, including addiction, have the highest prevalence of smoking of any population, and smoke more intensely and heavily than others. In preparation for developing a step-wide protocol for a nursing intervention, recent literature on smoking cessation with smokers and those with psychiatric diagnoses was searched. A total of 16 related or specific studies and reviews were identified and critiqued, seeking support for interventions specific to the needs and attributes of this population. Few studies either included or focused on the smoking cessation with those having diagnoses of addiction and/or other psychiatric disorders, although study populations may have included such individuals. The results of research critiques suggest that standard approaches to smoking cessation have comparable success with the general population and persons with psychiatric disorders. The need to tailor interventions to achieve continued smoking cessation, however, remains an important need. The protocol steps are supported by the evidence drawn from the research literature and best practice guidelines.

• 出版日期2010-6