住院吸烟患者的戒烟干预效果评价  

The Effect Evaluation of Smoking Cessation Intervention in Smoking Patients in Hospital

作　　者：朱卫华[1] 岳晓军[1] 蓝芬[1] 杨烈[1] 严琼[1] 吕立珍[1] 吴毅琴[1] 左斌[1] 钟莹[1] 

机构地区：[1]广东省广州市第十二人民医院,510620

出　　处：《实用心脑肺血管病杂志》2013年第5期21-23,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：广州市医药卫生科技项目(201102A213171);广东省科技厅立项课题(A2011517)

摘　　要：目的本研究以住院吸烟患者为研究对象,探讨戒烟干预的效果。方法选择2010年12月—2012年11月呼吸科、心血管内科两科室的住院吸烟患者共240例,将其随机分为2组,对照组(简短戒烟建议)120例,干预组(强化戒烟干预)120例。进行统一问卷调查,采用面对面强化式戒烟心理辅导及简单口头忠告两种不同干预方式,并在出院后进行6个月内的电话随访,并跟踪戒烟状况和戒断症状,据自报的戒断情况,确定时点戒烟率、持续戒烟率,判断戒烟干预的效果。结果强化干预组出院后1个月、3个月、6个月的时点戒烟率以及6个月的持续戒烟率明显高于对照组,差异有统计学意义(P<0.05);且部分戒断症状如焦虑或紧张、体质量增加、渴望吸烟的发生率明显低于对照组,差异有统计学意义(P<0.05)。结论对住院吸烟患者实施戒烟干预,尤其是在与吸烟密切相关性疾病的科室,可行且有效;强化戒烟干预较简单戒烟干预更有效。Objective To study hospitalized smoking patients and the effectiveness of smoking cessation intervention, to provide an evidence for smoking cessation of hospitalized smokers. Methods December 2010 to November 2012 selected Department of respiration and internal Cardiovascular medicine smoking in patients with a total of 240 cases, which were randomly divided into 2 groups, 120 cases of the control group （ brief advice to quit）, 120 cases of the intervention group （ face - to - face intensive smoking cessation counseling）. Using a structured questionnaire, each smoker＇s personal baseline data was collected. Phone call follow - up were carried out and data with withdrawal symptoms, self - reported at different time 7 - day point prevalence quit rates （ 1, 3, 6 months） and 6 months continuous prevalence quit rate after discharge were investigated. Results Strengthening intervention group was 1 months, 3 months, 6 months time quit rates and continued smoking 6 months was significantly higher than that of the control group, the difference was statistically significant （ P 〈 0. 05 ） ; And some of the withdrawal symptoms such as anxiety or tension, the body weight increased, the desire to smoke the incidence was significantly lower than the control group, the difference was statistically significant （P 〈 0. 05）. Conclusion Implementation of smoking cessation intervention for hospitalized smokers, particularly to those admitted to smoking - related disease wards of Departments and those whose conditions were closely associated with smoking, were feasible and effective; intensive smoking cessation was more effective than brief cessation.

关 键 词：住院病人 吸烟 戒烟 治疗结果 

分 类 号：R163.1[医药卫生—公共卫生与预防医学]