澳大利亚家庭医生戒烟指南

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1、SmokingCessationGuidelinesFORAUSTRALIANGENERALPRACTICEPRACTICEHANDBOOK2004EDITIONGuidelineDevelopmentGroupSchoolofPublicHealthandCommunityMedicine,UniversityofNewSouthWalesProfessorNicholasZwarProfessorRobynRichmondTheCancerCouncilVictoriaDrRonBorlandMsSuzanneS

2、tillmanGeneralPracticeEducationAustraliaMsMargaretCunninghamDepartmentofGeneralPractice,FlindersUniversityDrJohnLittGuidelineReferenceGroupRoyalAustralianCollegeofGeneralPractitioners,TheCancerCouncilAustralia,NationalHeartFoundation,AustralianDivisionsofGenera

3、lPractice,NewZealandGuidelinesforSmokingCessationAdvisoryGroup,UniversityofSydneyFamilyMedicineResearchCentreGuidelineDevelopmentfundedbyWebsiteLocation:www.quitnow.info.auPracticeHandbook1TableofContents1.BACKGROUND1–29.SPECIALGROUPS43–51Aimsoftheguidelines1Pr

4、egnantandlactatingwomen43Evidenceandrecommendationratingsystem2Adolescents452.SUMMARYOFEVIDENCEAboriginalandTorresStraitIslanders46ANDRECOMMENDATIONS3–7Peoplefromculturallyandlinguisticallydiversebackgrounds473.SMOKINGANDHEALTH8–10Peoplewithsmokingrelateddiseas

5、e48Smokingprevalence8Peoplewithmentalillness49Healtheffectsofsmoking8Peoplewithsubstance-usedisorders51Healthbenefitsofcessation1010.ENVIRONMENTALTOBACCOSMOKE524.ROLEOFGENERALPRACTICEINSMOKINGCESSATION11–1511.RESOURCES53–57Evidenceofefficacyofadvicefromhealthpr

6、ofessionals1112.REFERENCES58–63Makingsmokingcessationpartofyourpractice11–12RESOURCESORDERFORM64Linkstootherpreventiveactivities14QUITLINEREFERRALFORM65Referraloptions155.THE5AsGUIDELINEFORSMOKINGCESSATIONINAUSTRALIANGENERALPRACTICE16–31Ask16Assess17Assessingap

7、erson’sReadinesstoChange17AssessingNicotineDependence20Advise22Assist23Smokerswhoarenotreadytoquit24Smokerswhoareunsureaboutquitting24Smokerswhoarereadytoquit24Barrierstoquitting26Cognitiveandbehaviouralstrategiestoassistcessation28Arrangefollow-up29Relapseprev

8、ention306.PHARMACOTHERAPY32–40NicotineReplacementTherapy(NRT)32Higherdoseandcombinationnicotinereplacementtherapy35SafetyofNicotineReplacementTherapy36Bupropionsustainedrele