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{"title":"Pharmacist E-script transcription service initiated nicotine replacement therapy uptake in pre-admission clinic: A pilot study.","authors":"Darshana Meanger, Ashley Webb, Iouri Banakh, Lisa Coward, Gael Cripps, Johnson George","doi":"10.1002/hpja.910","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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).</p><p><strong>Aims: </strong>To evaluate the feasibility of Pharmacist E-script Transcription Service (PETS) initiated nicotine replacement therapy (NRT) in PAC, including smoking cessation on DOS.</p><p><strong>Methods: </strong>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.</p><p><strong>Primary outcome: </strong>feasibility of intervention.</p><p><strong>Secondary outcomes: </strong>DOS smoking abstinence rates and three-months post-surgery.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Promotion Journal of Australia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/hpja.910","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
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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.
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。
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