Impact of tobacco control auxiliary resources on the 5As behavior in nursing interns: Self-reports from students

Li Zhang; Jun Li; Yalan Lv; Xia Yang; Li Bai; Yetao Luo; Yanhan Chen; Yong Zhao

doi:10.18332/tid/125231

Impact of tobacco control auxiliary resources on the 5As behavior in nursing interns: Self-reports from students

Tob Induc Dis. 2020 Aug 5:18:65. doi: 10.18332/tid/125231. eCollection 2020.

Authors

Li Zhang¹, Jun Li², Yalan Lv³, Xia Yang¹, Li Bai³, Yetao Luo⁴, Yanhan Chen¹, Yong Zhao⁵

Affiliations

¹ College of Nursing, Chongqing Medical University, Chongqing, China.
² The Office of Chongqing Medical University, Chongqing, China.
³ College of Medical Informatics, Chongqing Medical University, Chongqing, China.
⁴ Department of Clinical Epidemiology and Biostatistics, Children's Hospital, Chongqing Medical University, Chongqing, China.
⁵ School of Public Health and Health Management, Chongqing Medical University, Chongqing, China.

Abstract

Introduction: The help of healthcare professionals for smokers to quit is critically important to increase quit rates. In the future, internship nursing students will potentially become the largest population of medical professionals. This study explored the impact of the use and awareness of universal tobacco control auxiliary resources on nursing students' 5As behavior in helping patients to quit smoking during a 40-week clinical internship in the last year of nursing school in Chongqing, China.

Methods: A survey was conducted in 13 teaching hospitals selected from 29 in Chongqing, China, in 2019, by a random cluster sampling method. It investigated, by self-reported questionnaires, student 5As behavior in helping patients to quit smoking and use and knowledge of tobacco cessation auxiliary resources (tobacco cessation self-education manual, tobacco cessation guidelines, tobacco cessation drugs, tobacco cessation websites, and hotline). The relationship between tobacco cessation auxiliary resources and 5As behavior in helping patients to quit smoking was analyzed with a multivariate linear mixed-effect model.

Results: In all, 534 (39.3%) students, of a total of 1358, reported that the majority of internship units provided a tobacco control self-education manual; 674 (49.6%) ever skimmed through tobacco cessation guidelines; 641 (47.2%) browsed tobacco cessation websites; 738 (54.3%) knew some cessation-assistance drugs; and 93 (6.8%) knew of and could recall the tobacco cessation hotline. Except for tobacco cessation websites, tobacco cessation auxiliary resources affected nursing interns' 5As behavior in helping patients to quit (p<0.05).

Conclusions: Tobacco cessation auxiliary resources influenced students' 5As behavior in helping patients to quit smoking. Students knew a little of tobacco cessation auxiliary resources. To improve students' 5As behavior for helping patients to quit, more tobacco cessation resources need to be developed and more students need to become acquainted with them.

Keywords: 5As; nursing interns; tobacco cessation; tobacco control auxiliary tools; tobacco control resources.