心血管内科门诊戒烟服务效果分析与简化管理流程探讨  

Effect of the moking cessation services in cardiovascular out-patient department and investigate the program of simplified management

作　　者：赵菁[1] 胡大一[1] 丁荣晶[1] 李学斌[1] 张萍[1] 王龙[1] 郭继鸿[1] 王伟民[1] 王晓青[1] 俞晓军[2] 王宇明 

机构地区：[1]北京大学人民医院心脏中心,北京100044 [2]舟山市人民医院心内科,316000 [3]河南省医学科学院院长办公室,450003

出　　处：《心肺血管病杂志》2011年第2期158-161,共4页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:评估强化门诊戒烟,随访有冠心病的吸烟患者戒烟效果以及临床预后的影响。方法:入选在我院心脏中心门诊就诊并确诊有冠心病的吸烟患者140例,按1∶1随机分为强化戒烟门诊随访组(随访组)70例,和常规治疗组(常规组)70例,分别进行不同干预措施。于6个月后比较2组的戒烟情况、戒烟误区、心血管事件率、门诊医疗费用和生活质量。结果:基线时2组患者的年龄、性别、伴发疾病、每日平均吸烟量、药物使用率差异均无统计学意义(P>0.05)。随访统计时,随访组的戒烟率高于常规组(34.29%:5.71%,P<0.01)。同时,2组合计的成功戒烟者与戒烟失败者戒烟前每日吸烟支数差异无统计学意义(13.42比13.39,P>0.05);总心血管事件率低于常规组(21.43%比47.14%,P<0.01);门诊医疗费用明显低于常规组(3 789.34元比4 984.25元,P<0.01);参考(MYO)健康状况调查问卷,生活质量各项评分均明显高于常规组(P<0.01)。结论:强化门诊戒烟随访可以明显提高患有冠心病吸烟患者的戒烟率和生活质量,降低医疗费用。Objective：To evaluate the follow-up on strengthening the outpatient smoking cessation with coronary heart disease（CHD） patients quit smoking effects of smoking and clinical prognosis.Methods：In our hospital heart center selected clinic and diagnosed with coronary heart disease 140 cases of smoking patients,randomly divided into the intensive 1：1 smoking cessation clinic follow-up group（intervention group） 70 and the conventional treatment group（conventional group） 70,with different interventions respectively.After 6 months,the two groups were compared the situation to quit smoking,quit smoking misunderstanding,cardiovascular event rates,out-patient medical costs and quality of life.And end of the study,the feasibility of the investigation.Results：At baseline the two groups were not significant diffeence（P〈0.05）.Follow-up statis-tics,the follow-up group quit rate in the control group（34.29% vs 5.71%,P〈0.01）;compared with the number of cigarettes before quiting smoking between the success of smoking cessation in two groups with the failure to quit smoking（13.42 vs 13.39,P〈0.05）;total cardiovascular events was lower than the conventional group（21.43% vs 47.14%,P〈0.01）;out-patient medical costs were significantly lower than the con-ventional group（3789.34 RMB vs 4984.25 RMB,P〈0.01）;reference MYO health survey questionnaire,the quality of life scores were significantly higher than the conventional group（P〈0.01）.Conclusion：Intensive outpatient follow-up can significantly increase cessation of smoking in patients with coronary heart disease,im-prove the quality of life,and reduce medical costs.

关 键 词：吸烟 戒烟 冠状动脉疾病 门诊 戒烟服务 

分 类 号：R54[医药卫生—心血管疾病]