Pharmacist E-script transcription service initiated nicotine replacement therapy uptake in pre-admission clinic: A pilot study

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia Pub Date : 2024-09-02 DOI:10.1002/hpja.910

Darshana Meanger, Ashley Webb, Iouri Banakh, Lisa Coward, Gael Cripps, Johnson George

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引用次数: 0

Abstract

Background

Pharmacist-led smoking cessation programs in pre-admission clinics (PAC) have shown to increase quit attempts and achieve abstinence by the day of surgery (DOS).

Aims

To evaluate the feasibility of Pharmacist E-script Transcription Service (PETS) initiated nicotine replacement therapy (NRT) in PAC, including smoking cessation on DOS.

Methods

A single centre, pre and post-intervention pilot study conducted at an Australian public hospital PAC. In a two-month intervention period, PAC nursing staff invited smokers (≥1 cigarette/day) to see a smoking cessation PET pharmacist. Pharmacist-initiated NRT and Quitline© referrals were offered. Cessation outcomes were compared with the preceding two-month control period. Primary outcome: feasibility of intervention. Secondary outcomes: DOS smoking abstinence rates and three-months post-surgery.

Results

PAC nurses identified 112 smokers over 4 months; 53 during pre-intervention period, and 59 during intervention period. Twenty-two intervention patients (37%) accepted seeing the pharmacist, with 16 subsequent Quitline© referrals (73%) and 11 NRT prescriptions (50%) written. The median nursing smoking status documentation time increased in the intervention period (1 min vs. 4, p < .001). The intervention did not impact pharmacist's workload. Verified abstinence increased from 8.5% (4/47) pre-intervention to 9.4% (5/53) post-intervention, p =1.00. Relapse rates in the intervention period increased (20% vs. 50%) at three-months post-surgery.

Conclusion

A PETS-initiated NRT program in PAC is feasible and increased preoperative use of NRT and Quitline© with minimal impact on smoking cessation.

So what?

This study has highlighted the importance of implementing a multidisciplinary smoking cessation program in PAC however, larger studies are needed to determine the true impact of the program on smoking cessations.

Abstract Image

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药剂师电子脚本转录服务促进入院前门诊尼古丁替代疗法的吸收：试点研究。

背景：入院前门诊（PAC）中由药剂师主导的戒烟计划已被证明可增加戒烟尝试，并在手术当天（DOS）实现戒烟。目的：评估在 PAC 中由药剂师电子脚本转录服务（PETS）启动尼古丁替代疗法（NRT）的可行性，包括在手术当天戒烟的情况：方法：在澳大利亚一家公立医院的 PAC 进行单中心、干预前和干预后试点研究。在为期两个月的干预期间，PAC护理人员邀请吸烟者（≥1支/天）去看戒烟PET药剂师。药剂师会主动提供 NRT 和戒烟热线© 转介服务。戒烟结果与之前两个月的对照期进行比较：结果：PAC护士在4个月内发现了112名吸烟者，其中53名在干预前，59名在干预期间。22名干预患者（37%）接受了药剂师的治疗，其中16人随后被转介至戒烟热线© （73%），11人开具了非依赖性戒烟药物处方（50%）。在干预期间，护理人员记录吸烟状况的时间中位数有所增加（1 分钟对 4 分钟，P 结论：在干预期间，护理人员记录吸烟状况的时间中位数有所增加：PETS 在 PAC 中发起的 NRT 计划是可行的，它增加了 NRT 和戒烟热线© 的术前使用，对戒烟的影响很小。所以呢？这项研究强调了在 PAC 中实施多学科戒烟计划的重要性，但要确定该计划对戒烟的真正影响，还需要进行更大规模的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.10

自引率

10.50%

发文量

115

期刊介绍： The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.