The purpose of this pilot study was to examine the effectiveness of an 8-week, nurse-managed, peer-led smoking cessation intervention among HIV-positive smokers. The intervention was based on the Agency for Health Care Policy and Research Smoking Cessation Clinical Practice Guideline and was delivered by an ex-smoker who was HIV positive and had been trained by an advanced practice nurse to deliver cessation counseling. Eight male HIV-positive smokers were assigned to the intervention group and received (a) 21 mg nicotine patch therapy for 6 weeks, (b) weekly face-to-face or telephone counseling, and (c) skills training that included substitute strategies for dealing with not smoking. Those participants assigned to the control group received written self-help materials for smoking cessation. Abstinence rates at end of intervention and 8 months were compared between groups. At end of treatment, 62.5% of intervention group participants were biochemically confirmed as abstinent from smoking compared with 0% in the control group. Eight-month abstinence rates were 50% among the intervention group compared with 0% in the control group.

译文

这项初步研究的目的是研究在HIV阳性吸烟者中进行为期8周,由护士管理,由同伴主导的戒烟干预的有效性。该干预措施基于卫生保健政策和研究机构戒烟临床实践指南,由一名HIV阳性的前吸烟者提供,并接受了高级实践护士的培训,以提供戒烟咨询。8名男性HIV阳性吸烟者被分配到干预组,接受了 (a) 21 mg尼古丁贴片治疗6周,(b) 每周面对面或电话咨询,以及 (c) 包括替代策略的技能培训不吸烟。分配到对照组的参与者收到了书面的戒烟自助材料。比较两组干预结束和8个月的禁欲率。在治疗结束时,与对照组的0% 相比,干预组参与者的62.5% 被生化确认为戒烟。与对照组的0% 相比,干预组的8个月禁欲率50%。

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