AN INTEGRATED APPROACH TO THE TREATMENT OF NICOTINE DEPENDENCE IN A MEDICAL-CENTER SETTING - DESCRIPTION OF THE INITIAL EXPERIENCE

被引:11
作者
HURT, RD
LAUGER, GG
OFFORD, KP
BRUCE, BK
DALE, LC
MCCLAIN, FL
EBERMAN, KM
机构
[1] Mayo Clinic, Rochester, 55905, MN
关键词
NICOTINE-DEPENDENCE TREATMENT; RELAPSE PREVENTION; SMOKING CESSATION; MODEL;
D O I
10.1007/BF02599113
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
A nicotine-dependence treatment program can be implemented in a medical center setting by using a model that involves physician, patient, and nicotine-dependence counselor. The physician-referred and counselor-directed consultations are followed by a systematic relapse-prevention program. The counselors utilize behavioral approaches, the philosophy and principles of the addictive disorders field, and adjunctive pharmacologic therapy. The patients are chronic, heavy smokers who have had many previous quit attempts and are highly nicotine-dependent. Important factors include: 1) referral by physicians, 2) physicians' active role in the intervention, 3) expertise of the counselors, 4) structured relapse-prevention program, and 5) provision of services in a smoke-free medical center.
引用
收藏
页码:114 / 116
页数:3
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