阶段性改变模式在高血压患者戒烟中的效果研究  

Effect of stage-based intervention on smoking cessation in patients with hypertension

作　　者：陈小芳[1] 汪国成[2] 薛小玲[1] 杨小芳[3] 顾洁[3] 李晴[1] 

机构地区：[1]苏州大学附属第一医院护理部 [2]香港理工大学护理学院 [3]苏州大学附属第一医院心血管内科

出　　处：《中华护理杂志》2011年第8期741-744,共4页Chinese Journal of Nursing

基　　金：苏州大学护理学院与香港理工大学合作项目(编号:WP696W)

摘　　要：目的探讨阶段性改变模式在帮助高血压患者戒烟中的效果。方法 在苏州某医院通过方便取样方法,收集89例吸烟或曾吸烟的高血压患者作为研究对象,将其随机分为干预组(44例)和对照组(45例)。干预组住院时期及出院后1周接受基于阶段性改变模式的戒烟干预措施,对照组则接受常规戒烟教育。出院后第1～3个月比较两组之间吸烟改变阶段、每日吸烟支数、血压的差别。结果干预组出院后3个月行为改变阶段较基线有明显提高(P<0.01),对照组干预前后差别无统计学意义(P>0.05)。干预组患者每日吸烟支数少于对照组(出院第3个月P<0.01),出院后3个月较干预前明显下降(P<0.01)。干预后,两组之间血压差别无统计学意义(P>0.05)。结论阶段性改变模式可帮助高血压患者提高戒烟意愿及减少每日吸烟支数。Objective To evaluate the effectiveness of stage-based intervention on smoking cessation in patients with hypertension.Method Eighty-nine patients with hypertension（current smokers and ex-smokers） were recruited from a hospital in Suzhou and were divided into two groups by randomized number table.The experimental group（n=44） received the stage-based intervention while the control group（n=45） received routine smoking cessation education.The stage improvement,daily cigarette consumption and blood pressure were compared between two groups monthly untill three months after discharged.Results After three months,the stage improvement in the experimental group was significant（P〈0.01）,while no significant change in the control group（P〉0.05）.Daily cigarette consumption was less in the experimental group than in the control group（three months after discharge,P〈0.01）.However,there was no significant difference in the blood pressure between the two groups（P〉0.05）.Conclusion The stage-based intervention can promote the willingness to quit smoking and decrease daily cigarette consumption for patients with hypertension.

关 键 词：高血压 戒烟 健康教育 

分 类 号：R473.5[医药卫生—护理学]